Gilbert Auto's 2012 Winter Beach Party
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Online Winter Beach Party Registration

Please complete this by August 15th, 2012.
Questions or Comments can be directed to:CFROST@WINTERBEACHPARTY.COM
* is a Required Field

Sponsoring company for your trip:

PARTICIPANT INFORMATION
(First, Middle and Last name must be as shown on ID/passport)

*Last name 
*First name 
Middle name 
*Date of Birth 
*Email 
*Address
* City   State    Zip Code
Telephone:
*Day Time Phone 
*Travel Cell Phone 

Billing Information

*Card Type:
*Card Number:
*Exp Date: (month) (year)
*3 Digit Code on Back of Card:

Mileage Plan / Number

GUEST INFORMATION
(First, Middle and Last name must be as shown on ID/passport)

Last name 
First name 
Middle name 
Date of Birth 
Address
City   State    Zip Code
Telephone:
Day Time Phone  
Travel Cell Phone 

Guest Billing Information (if different than above)

Card Type:
Card Number:
Exp Date: (month) (year)
3 Digit Code on Back of Card:

Guest Mileage Plan / Number

Mileage #:

 

AIRLINE INFORMATION

Arrivals and Departures will leave to and from Sea-Tac Airport in Seattle.
Yes, I will depart from SEA-TAC Airport
No, I will pay the surcharge to depart from:

YES I would like to purchase shuttle passes for $15 per passenger each way. (1 pass covers pick up or return from airport or from hotel for 1 person)
OR
NO I will NOT need transportation to and from the airport to the hotel, I will take care of my own transport.

Any Special requirements during travel

TRANSPORTATION IS AVAILABLE NOVEMBER 27 DECEMBER 2 ONLY.

Deluxe Snorkel and Dolphin Morning Adventure Sign up More Details
YESI would like to purchase snorkle cruise's for $89 per person.
or
No, I’ll pass on the Snorkel/Whale Watch

HOTEL ACCOMODATIONS: Hilton Waikoloa Village Resort,  Kohala Coast Hawaii 

Your Beach Party getaway includes 4 nights stay at the beautiful Hilton Waikoloa Village Resort. Additional nights are available in a LIMITED supply - first come first served---at our group rate: $199 per night plus taxes which includes the 5 Star breakfast buffet every day for two. Total is approximately $222.88 per night with taxes.


IF you choose YES for Additional Nights above
Indicate the nights you wish to stay
The first four nights are included:
November
      Wed
23
 Thur
24
 Fri
25
 Sat
26
Sun
27
 Mon
28
 Tues
29
 Wed
30
 Thur
1
 Fri
2
 Sat
3
Sun
4
            


ACCOMMODATION REQUIREMENTS

Any Special requirements?

Do you have any pre-existing medical conditions?

ANY OTHER REQUIREMENTS



By clicking Continue you will have a chance to verify all information prior to final booking.


Thank you for your registration! Your itinerary and travel details will be mailed to you October 31, 2012.

Any questions can be e-mailed to cfrost@winterbeachparty.com

Mahalo and see you on the Island!

Your Winter Beach Party Team

And Sponsoring Company