ETN Hotel Reservation Form for

This Reservation Form is sent DIRECTLY to MOLOKAI SHORES SUITES by E-Mail.
(NOT to the ETN Head Office, NOT to a travel agent or any other office)
MOLOKAI SHORES SUITES will answer your request as soon as possible.
If your reservation is confirmed, MOLOKAI SHORES SUITES will send you a Confirmation Number, the applicable GROSS or RACK Rate and the Discount Given.

Your details:

Family Name:
Company Name: Optional !
Position: Optional !
Profession: Optional !
Street / P.O.Box:
City + State:
Postal / Zip Code:
Telephone Number: incl.Country + Area Code
Fax Number: incl.Country + Area Code
E-Mail: Absolutely necessary !
ETN Card Number:

YES, I want to reserve the following Accommodation:

USA 96748-1037     KAUNAKAKAI,Hawaii  P.O.BOX 1037
MOLOKAI SHORES SUITES   Tel.(1)808-553 5954       Fax (1)808-553 5954
Toll-Free: 1-800-535 0085     E-Mail:
50% DISCOUNT on $125-159                             TOURIST * 100 Suites
Oceanfront Country Living. Pool,putting green,shuffleboard,charcoal BBQ's
Beautiful views of the Island of Lanai, perfect spot for whale watching.
Suites have ocean views, incl.ceiling fans and fully equipped kitchens.
Street Address: Kamehameha Highway, Star Route, Kaunakakai, Molokai 96748

Arrival Information:

Arrival Date
Arrival Time
Arriving from
Arriving by
Arriving by Flight Number: (Optional !)

Departure Information:

Departure Date
Departing to
Departing by
Departing by Flight Number: (Optional !)

Accommodation requested (1 ETN Card needed for EACH Room)

x Single Room (1 person)
x Double Room (2 persons)
x Triple Room (3 persons)
x Quad Room (4 persons)

Car Rental requested (1 ETN Card needed for EACH Car)

Car Group
Car Pick-Up at

Remarks, Comments and Questions

Use the space below to place special requests, provide additional information, or ask any questions. You'll be answered promptly.

Credit Card Information

If your estimated Arrival Time is after 16.00 hours (4 pm), your reservation can only be guaranteed upon receipt by the Hotel of a ONE NIGHT deposit before your arrival OR by completing your Credit Card Information below.

MOLOKAI SHORES SUITES realizes that you may not be very comfortable in sending your credit card info via Internet. That's why they advise you to send your card number in one of the following TWO ways:
  1. Send EACH block of 4 digits in REVERSE order !!
    EXAMPLE: Your credit card number is: 1234 5678 9123 4567
    Below you give your credit card number as: 4321 8765 3219 7654
  2. Send your credit card number by fax to: + (1)808-553 5954

Inform how you send your credit card number:

Credit Card NUMBER4 x 4 digits !
Expiration Date mm/yy
Name Card holder
Credit Card type