Address:

Telephone Home:                                       Fax:            

Email:

Arrival date                    Approx. time                   Departure date

Check in time is 3:00 p.m. Check out is 11:00 a.m.

This is a non-smoking vacation rental (failure to comply will forfeit deposit)

          $ 125.00 per night # of nights    = $             (2 night minimum)

          $ 11.42% Tax (4.167% excise 7.25% transient room tax) = $

          $ 65.00 one time out cleaning fee = $

          $ 150.00 Deposit (due within 10 days of making reservation) = $

          $ Total Rent (due 30 days prior to arrival) =

Date deposit received                amount $150.00 (45 day cancellation for full refund of deposit)

Date total rent received $          

Please make checks payable to Liko Kauai Cruises or charge by credit card.

Liko Kauai Cruises  P.O. Box 18 Waimea , HI   96796

(808) 338-0333 phone (808) 356-0521 fax (888) SEA-LIKO toll free

likokauai@verizon.net email