Hana Palms Bungalow

Reservation Inquiry

Fill in the information below and press "Send Info" to submit a reservation inquiry. We will respond shortly to confirm availability, answer any questions you may have, and make your lodging arrangements.

Calendar Please check availability

Name:
Number of people
Email Address
Address
City State: Zip:
Daytime Phone
Bus. Phone
Fax
Hana Arrival Date
Hana Departure Date
Message:

Credit card information is required in order for us to confirm a reservation. Your credit card will not be charged until we confirm that your requested dates are available. Your credit card will then be charged and a confirmation of charges will be e-mailed to you. Name and address below must be the same as your credit card billing. If you choose not to provide your credit card information we will contact you shortly in order to confirm your reservation and discuss payment options.

CREDIT CARD INFORMATION (optional)

Name on Card
Billing Address
City
State/Prov
Zip/Postal Code
Credit Card Visa   MasterCard   AmEx   Discover
Credit Card Number
CC Security Code (3 digit number on the back of the card)
Expiration Date Month Year

Press: when done, or if you want to blank the form and start over.