Reservation Form
Print & Fax: (808) 985-7349
All reservations are confirmed with a deposit
equal to the nightly accommodation rate payable by Visa or MasterCard. Reservations confirmed within 14 days of the arrival date will be charged the
total amount due at the time of confirmation. Aloha Place- Inn of
Volcano/Guest House at Pali Uli reserves the right to change one night accommodations, without
notice, to either a comparable accommodation or an upgrade.
Before you fax your request we suggest that you check availability online to secure your
reservation. Reservations will be confirmed via email within 24 hours
of receipt. Reservations submitted via fax are NOT guaranteed until
confirmed with a valid deposit.
| Name:_____________________________________________ | Phone:______________________________ |
| Address:___________________________________________ | Fax:________________________________ |
| Address:___________________________________________ | Cell Phone: ___________________________ |
| Arrival Date:____________ Departure Date:_____________ | Number of nights lodging:_____________ |
| *Email: _________________________________________ * Required for confirmation. (Please print clearly.) |
# Adults: ___________ # Children: _________ |
| CHECK AVAILABILITY FIRST | (Please circle your request) |
| Cottages: | Sushi Cottage- Kitchenette | ||||||
| Rooms: | Birds of Paradise Room | Lei Room | Honu Room | Aloha Room | Paniolo Room | Ali'i Room | Bamboo Room |
| Card Member Name:_______________________________________________________________ |
Card Member Signature:____________________________________________________________ |
(Required for Authorization) Card Number: __________________-____________________-___________________-__________________ Card Expiration Date: ___________ /___________ Security Code __________ ** * * the last three digits on the back of your credit card *Please refer to Policy Page for further details. Click here for Aloha Place- Inn of Volcano special negotiated Dollar Car Rental Rates Information
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