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Surf Trips Maui Hawaii with Kai Nalu
(ph)808.579.9937 (fax)808.579.9937 nalu@maui.net

Please fill out the following information in order for us to contact you with further information.

Contact Information
All words in bold are required.


First Name
Last Name
Address
City St. ZIP
Phone: Fax:
E-mail:

Travel Information


Month Day and year you plan to visit Maui
Ever been to Maui?
Preference of food?
Do you want help with airfare and accommodations?
Do you have medical coverage?
Last Tetanus Shot

Surfing Information


On a scale of 1 - 10 what rating would you give your self as a surfer
Stance: Are you goofy or regular foot? (Goofy stands on a skateboard or surfboard with the right foot forward)
What wave sizes can you surf?
Board size you like to use
Your Weight & Height?
 

Additional Comments or questions?




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©John Nauka DBA Kai Nalu
(
ph)808.579.9937 (fax)808.579.9937 nalu@maui.net
536 Kahua Pl
Paia Hi 96779