TOUR APPLICATION FORM

 Rainbow Holidays
1347 Kapiolani Blvd. #206, Honolulu, Hawaii 96814, Tel: (808) 944-8811, Fax: (808) 944-8837, 

TOUR APPLICATION FORM

 TOUR _______________________________ Departure Date: ____________

Name: ______________________________________ 
           Full Last / First / Middle - Date of Birth (DD/MM/YY) - M / F

Name:______________________________________
           Full Last / First / Middle - Date of Birth (DD/MM/YY) -M / F       

Name: ______________________________________ 
           Full Last / First / Middle - Date of Birth (DD/MM/YY) - M / F
* Please attach a copy of your passport

Mailing Address: ___________________________________________________________________________

Street / City / State / Zip Code: ______________________________________________________________________

 Phone (Day) ___________ (Cell)____________ Email_______________

Accommodations: Single [   ] /  Double [    ] /  Triple [    ]
Please Check:   
[  ] Will return with group
[  ] Plan to deviate or return later - please notify us as soon as possible
[  ] Land Only (own airfare) - please notify us of your flight schedule 

Payment: 
*Credit Card - Only the Airfare/Tax may be charged. 
The balance of the tour fare (Land cost) must be paid by cash or check.

Card Number: _____________________________________
Expiration Date: _____________

In case of emergency while on tour:Please notify: _____________________________________
Relationship: __________________
Residence Phone: __________________ Business Phone: _______________
Please list any medical or other assistance required: __________________________________________
Special Requests: ________________________________________________________________________________
NOTE: All requests will be fulfilled to the best of our ability. However, all requests are based upon availability and never guaranteed. I/We the undersigned have read carefully and understand the General Conditions pertaining to the above stated tour and agree to these conditions. All information will remain confidential.

Name/Signature: ___________________________Date:_____________