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Street Address:

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How did you hear about
Kau Hale Cottage?

Travel Dates:

Arrival date:

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Number of nights:

Adults:

Children:
No children under 12 please!

Total number of souls:

xx

Option A. 1 Bedroom, 1 Bath
Option B. 2 Bedrooms 1 Bath
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What would you like the
nature of your stay to be?
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Relaxation
Rejuvenation
Adventure
Vacation/Holiday
Retreat

What special services or interests would you like to know about?
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Living Touch
Organic Veggies
Living Food
Dietary Changes
Training to Prepare Living Foods
Healing Acthology

Questions or comments:

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No smoking please.