THE PHOTO FACTORY, RR 3, Box 1339, Pahoa, HI 96778, 808 982-5525, bigisland123@hawaii.rr.com

RESERVATION/INFO REQUEST
If you have a concrete plan copy this form (Ctrl-A, right click, Copy), 
click on the e-mail address below, paste it into your e-mail, fill it out and send it to us.
If have just a question or two, click on the e-mail address below and write to us.
Use your computer's BACK button to go back.
E-mail: 

PERSONAL INFO
First name:
Last name:
Phone:
E-mail:
Address-1:
Address-2:
City:
State:
Country (if not USA):
Note:

SAFARI(S) REQUESTED
[  ] Waipio Valley - Mauna Kea summit
[  ] South Point - Green Sand Beach - Volcano Park - Active lava
[  ] Custom, this is my plan:

Date(s) requested:
Number of adults:
Number of children under 12:
Note:

PAYMENT
Type: [  ] Visa, [  ] Master Card, [  ] American Express,  [  ] Discover, 
[  ] Diners Club, [  ] Other
Card number:
Expiration date:
Security number on back (last 3 digits in signature box):
Billing address (if different):
Note:

[  ] Confirm by e-mail, please.
[  ] Confirm by phone, please. I believe in "personal touch".

No cancellations within 48 hours of confirmed dates, please,
except for serious emergencies beyond your control.
We reserve the right to cancel or change dates to other, 
mutually agreeable dates, due to adverse weather 
and/or road conditions, or other factors beyond our control.

E-mail: 

Use your computer's BACK button to go back.

THE PHOTO FACTORY, RR 3, Box 1339, Pahoa, HI 96778, 808 982-5525, bigisland123@hawaii.rr.com