Store Location: North Kona Shopping Center ~ 75-5629 Kuakini Hwy. ~ Kailua-Kona, HI 96740
Telephone #s: (808) 326-1700 or (808) 989-3269 Email: alohababyrental@yahoo.com
Reservation Form
Name: __________________________________________________________
Home Address: __________________________________________________________
City, State, Zip: __________________________________________________________
Email: __________________________________________________________
Home Phone: __________________________________________________________
Alt. Phone: __________________________________________________________
Work Phone: __________________________________________________________
Type of Credit Card: Visa/Mastercard/Amex (circle) __________________________________________________________
Card Number: __________________________________________________________
Expiration Date: __________________________________________________________
Name on Card: __________________________________________________________
Items Needed: ________________________________________________Qty: ______
________________________________________________Qty: ______
________________________________________________Qty: ______
________________________________________________Qty: ______
Delivery Address (Name of Hotel, Condo, House #, Apt. #, etc.): __________________________________________________________
City, State, Zip Code: __________________________________________________________
Delivery Date: __________________________________________________________
Pickup Date: __________________________________________________________
Age(s) of Children: __________________________________________________________
Additional Instructions:  ___________________________________________________________________
Fax, mail or email this Reservation Form to us together
with the Rental Terms and Agreement Form.		 Copyright © 2005 Aloha Baby Rental. All Rights Reserve.
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