| Coconut Express Reservation - Summer 2008 Departures- |
| First Name* |
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| Last Name* |
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Student ID#*
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| Telephone number* |
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| E-mail Address* |
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| Airline and Flight Number |
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| Flight Departure Time |
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| Departure Date (Choose one)* |
8/12 (Tue)
8/13 (Wed)
8/14 (Thu)
8/15 (Fri)
8/16 (Sat)
8/17 (Sun) |
| Pick-up Time (Choose one)* |
8:00AM
11:00AM
2:00PM
5:00PM
8:00PM |
Fees
(Additional) |
General
Fee - $15.00
Late Fee - $15.00
Extra Luggage - $10.00 |
| Payment |
Please call (808) 675-3404/ 675-3400 to pay with Visa or Mastercard. |
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*Required
information
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