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Wendy's Country Road Vacation Rental Inquiry
Questions marked by * are required.
1.	First Name: *
2.	Last Name: *
3.	Company or Organization:
4.	How did you find us or learn about us (a specific website, etc. is very helpful if you can recall):
5.	Do you have a URL or Website you'd like us to visit?:
6.	Email (primary; CONTACT NOW): *
7.	Email (secondary):
8.	Phone Number (CONTACT NOW):
9.	Your TIME ZONE NOW (or input your broad location info (i.e. "Washington State US") so we can check your time before we call:
10.	Will your "CONTACT NOW" phone number be used while you are on the Big Island? No YES
11.	Phone Number (secondary):
12.	Will your "SECONDARY" phone number be used while you are on the Big Island? No YES
13.	Number of Adults (18 or older) in your group (count yourself as 1): *
14.	Number of Non-Adults (anyone not counted above) in your group: *
15.	Names of other guests (besides you) in your group:
16.	Arrival Date (you stay the night you arrive): *
17.	Estimated ARRIVAL time (check in is 3PM or later on ARRIVAL day):
18.	Departure Date (you do not stay the night of your departure): *
19.	Estimated Departure Time (check-out is 12 noon or earlier on DEPARTURE day):
20.	About Your DATES *
21.	About Your Knowledge of The Big Island *
22.	Reason For Your Visit:
23.	Any Special Needs or Requests:
24.	Do You intend to bring a laptop/computer? YES No
25.	Do you intend to rent a vehicle? YES No
26.	Please enter your inquiry questions, comments, feedback below:

Big Island Vacation Cottages