Please enter your name on the registration form as it appears on your government-issued photo ID. Flight tickets will be issued in accordance with your registered name.

First name as it appears on photo ID *

Middle name as it appears on photo ID *

Last name as it appears on photo ID *

Known Traveler Number (Global Entry, TSA Pre-check)

Name preference for your name tag: *

Date of birth (MM/DD/YYYY) * +

Email Address *

Email Confirmation *

Color copy of photo ID (attach now or send to Executive Travel minimum 90 days prior to departure)

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Phone Number

Cell Phone Number *

Are you a solo traveler or traveling with a Companion? *

Traveling Solo

With a Companion

Looking for a Roommate "Pair & Share"

First name as it appears on photo ID

Middle name as it appears on photo ID

Last name as it appears on photo ID

Known Traveler Number (Global Entry, TSA Pre-check)

Name preference for your name tag:

Date of birth (MM/DD/YYYY) * +

Email Address

Email Confirmation

Color copy of photo ID (attach now or send to Executive Travel minimum 90 days prior to departure)

Street Address

Address Line 2

City

State

Zip Code

Home Phone Number

Cell Phone Number

Would you like to register for any of the optional tours? Please mark below which tour(s) you would like to reserve: *

Oahu Circle Island Tour ONLY

Kona Whale Watching ONLY

Oahu Circle Island tour AND Kona Whale Watching

None

Are you interested in a quote for Travel Insurance? *

Yes

No

If any food allergies exist, please list them here:

0/300 characters

Bed preference (will be requested, but cannot be guaranteed):

0/300 characters

If you are traveling with friends, please list their names here:

How would you like to make your deposit payment? (please note: if you choose to pay by credit card and you register two people, both deposits will be charged to this card) *

Check

Credit Card

Name on Card *

Credit Card Type *

Credit Card Number *

CVC Code *

Expiration Date (mm/yy) *

PIN Number (if applicable)

By submitting this form, you authorize Executive Travel to charge this credit card for the deposit amount for the traveler(s) above. *

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