KONA SURF RESORT & COUNTRY CLUB
HOTEL ROOM RESERVATION FORM
AMERICAN GEOPHYSICAL UNION
January 11 - 15, 1999

Name:          ___________________________________________________

Address:       ___________________________________________________
     
               ___________________________________________________

City/State/Zip:     ______________________________________________

Phone:         ___________________________________________________

Fax:           ___________________________________________________

Others in Party:    _____________________________________________

No. Rooms:     __________________________________________________

Arrival Date:  __________________________________________________

Departure Date:     _____________________________________________

Airline/Flight :    _____________________________________________

Flight Arrival:     _____________________________________________

Hotel Arrival:      _____________________________________________

ACCOMMODATIONS    Please indicate below:

     Category       *Run of House        **Run of Ocean
Single/Double       $ 90.00  _______    $105.00 ______
Triple              $110.00 ________    $125.00 ______
Quad                $130.00 ________    $145.00 ______

Indicate Choice of either:_______King bed OR_______2 Double beds
Smoking room_______Non-smoking room______ADR room_______

*Standard with upgrade to Garden View upon availability.
**Ocean View with upgrade to Ocean Front upon availability.
Although we can not guarantee to do so, every attempt will be made to fulfill your request.

A ONE NIGHT DEPOSIT plus Hotel Tax is required no later than DECEMBER 10, 1998. Please make CHECK or MONEY ORDER payable to: KONA SURF RESORT, or, complete the credit card information below:


     Credit Card Holder: __________________________

     Type of Card:       __________________________

     Card Number:        _________________________Exp.________________


*Credit card information will be used as room guarantee only.

REGISTER BY MAIL, FAX, PHONE, OR E-MAIL. IF BY PHONE OR E-MAIL, FOR ACCOUNTING PURPOSES, PLEASE RETURN COMPLETED FORM TO:

KONA SURF RESORT & COUNTRY CLUB
Group Room Reservations
78-128 Ehukai Street
Kailua-kona, HI 96740
TEL: (800) 367-8011/ FAX: (808) 322-3245
E-MAIL: konasurf@ilhawaii.net

Signature:_________________________ Amount Enclosed:_________________