GROUP RESERVATION REQUEST FORM

34^th BOMB SQUADRON 2007 REUNION

May 23 – 27, 2007

Please fill out the following and mail/fax to: Hale Koa Hotel, 2055 Kalia Rd., Honolulu, HI  96815,
FAX-1- 800-425 3329 (from CONUS).  Or, download a PDF version of the form that can be opened
and printed with the Adobe Reader software by right clicking on this link and choosing Save Target As:
Eligible Reservation Form

Requests due By:  March 31, 2007-Requests received after the due date will be based on availability.
 

Last Name: _______________________________ First Name: _______________________________

Rank: _________  PAY GRADE:  _______________  Branch of Service: _______________________

Active Duty:  ___Retired:___ 100% DAV ID:____

ADDRESS: ___________________________________________________________________________

CITY: ___________________STATE:_______ZIP CODE: ________SMOKER:___NON-SMOKER: ___

BUS AREA CODE/PH: ____________________   HOME AREA CODE/PH: ______________________

CELL AREA CODE/PH:  __________________    E-MAIL:  ____________________________________

ARRIVAL: _____________DEPARTURE: ____________#of ADULTS: ____CHILD AGES: __________

Name of Spouse or guest sharing room: ________________________________________________________

 TYPE OF ROOM: PARTIAL OCEAN VIEW

*Rate: Single/Double Occupancy: E1-E5 - $94    E6-E9, WS,100%DAV-$111   04-010-$120

*Rates are subject to change effective October 1, 2006.

Additional Person 12 yrs & above: $15 per person.  Maximum 4 persons in a room sharing two beds.
Rollaways or cots are not allowed.

If second room is required for immediate family*

Provide Names:________________________________Relationship:____________________

*Immediate Family: Parents, Siblings, In-Laws, Non-Dependent children, Grandparents, Grandchildren

EARLY DEPARTURE FEE: After check-in, if departure date changes, a one night’s room rate will be incurred.

CANCELLATION POLICY: Reservations must be cancelled 30 days prior to arrival date to avoid a late
cancel charge of one night’s room rate.

A one night’s deposit via check or credit card will be required to guarantee reservations.  Credit card will be
charged a one night’s room rate.

Check No._______Amount:______

Credit Card Number: _______________________________________Expiration Date: _____________

Cardholder Name :____________________________( Guest must be residing in the hotel)

Confirmation of reservations outside the block dates will be based on room availability.  If requesting

other than a Partial Ocean View, please indicate your preference:_______________________________.

PLEASE DO NOT BOOK ON-LINE TO AVOID DUPLICATION OF RESERVATIONS.