TrueBlue Hawaii Reservation Form

TrueBlue Hawaii

Reservation Form

Please print, fill out and fax or mail.

Fax:+1-808-596-7064

Mailing Address:742 Auahi St. Honolulu, HI 96813 USA

Or, please call and give us all the information below.

Phone:+1-808-596-9292

Name:

____________________________________________________________

Address:

____________________________________________________________

Phone:

____________________

Fax:

________________________

E-Mail:

_____________________________________________________

ID#: _____________

Type:

Driver's License

Passport

Other:_________

Check in Date: _______________Check out Date: ___________________

Arrival on Oahu:

Date:_______________ Flight:_________________

Desired Check in Time:

_____________________

Names of Occupants:

_____________________

Credit Card Information:

Type

Visa

Master

Amex

JCB

Card No.

_____________________

Exp.Date_______

Card ID

________

4 digit number on front of Amex cards, 3 digit number on back of other cards after credit card No.

Signature

_____________________

Amount

US$400.00

Security Deposit to confirm your reservation.

I would like a reservation confirmation sent by < mail, fax, e-mail > (Circle one)

I have read and understand the Reservation and Cancellation Policy.

I authorize this US$400.00 credit card payment.

Signature:______________________________ Date:______________

Print Name:_____________________________

To avoid cancellation & cancellation charge, the first 15 days rent is required no later than 30 days before check in. I authorize this payment to be charged to the above credit card 30 days before check in. Signature_______________