ORDER NOW! TERALANI WEST SIDE SNORKEL TRIP

Price reflects an $8 Discount on Adult ticket.
Regular Adult Price: $104.81 including tax
Our Price:$96.81 Adult Price including taxes and fees.

THIS IS A SECURE ORDER FORM

Number of Adults	at $ each - Adult Total:	$
Number of Teens	at $ each - (ages 13-17)	$
Number of Children	at $ each - (ages 4-12)	$
Children under 5 (Free)	No Charge but you must include number of free children in your order.
Prices include all taxes, harbor fees and fuel charges, if applicable. GRAND TOTAL: $

Requested Activity Date Alternate Date

Your Name
Arrival Date on Maui (mo/day/year): Departure Date:

Where staying Unit/Room (if known)

Phone Where Staying (if known) Cell Phone

Credit Card Information

Type of Credit Card

Full Name As It Appears On Card:

Card Number (please include spaces)

Exp Date (month/year): Auth. Code (3 or 4 digits on back of card)

Billing Information

Street Address:

City State Zip Code Country

Home Phone Business Phone

Your Email Address

If you have questions or comments, please enter here:

CANCELLATION POLICY: No refunds on cancellations made within 48 hours of event on Internet orders. A 5% charge cancellation charge may apply. No refunds on "no-shows". If the activity cancels for any reason, you will
receive a full refund.

Please only press once, the server may take up to 1 minute to respond.

IF YOU ARE HAVING TROUBLE BOOKING ONLINE
call us at 808-249-9720 or EMAIL maui4fun@hawaii.rr.com and include your phone number.
We will call you for your order.

Please Note: All activities have some risk associated with them. No activity is risk free. Maui4fun.com/activityshack.com will not be held responsible for any accidents, loss of property, or any other misfortunes associated with activities whose information is contained within these pages.