Gift Certificate Registration Form

If you would like to purchase one of our retreats and/or vacation packages for someone you know, please fill out the following information so that we may contact you. To submit this information to Healing Palms of Kauai fill out the following information and mail to the address below.

Sponsor/Coordinator Information
Sponsor/Coordinator
Address
City
State
Zip
Phone Number
Alternate Phone Number
E-mail
Please list the individual names of your group sponsorship if applicable. (This is how they will be presented on the Gift Certificate).
Is there any special situation we need to be aware of?
What program are you most interested in?
What month would work best?


Participant/Caregiver Information

Participant/Caregiver's Name
Address
City
State
Zip
Participant's Phone Number
Alternate Phone Number
Participant's E-mail


 

Healing Palms of Kauai will do everything it can to make this retreat/vacation a beautiful, re-energizing experience. We schedule our programs months in advance. If you have special needs or circumstances, please feel free to share them with us. Your comments and feedback make a difference.

Payment Terms


Healing Palms of Kauai requires payment in full for gift certificate purchases. Gift Certificates expire within one year from the purchase date. Healing Palms of Kauai reserves the right to make extensions on a case-by-case basis.

Payments are accepted in Cash / Traveler's Checks, Personal / Certified Check, Money Order, Visa or Mastercard.


Direct Mail to:
Healing Palms of Kauai, Inc.
P.O. Box 9172
Denver, CO 80209
Attention: Accounts Receivable

In the event of a cancellation, we require 60 days' advance written notice. This can be done via e-mail. We are sensitive to our participants needs and understand that life circumstances can limit one's participation. We request your consideration by giving us as much notice as possible. With 60 days' advance written notice, your full deposit shall be placed into a special account for future guaranteed use of your vacation in whatever program you desire. If you require a refund, we will assess each individual situation. The amount refunded to you will depend upon the amount of notice given, our expenses incurred to hold your accommodations, etc., and/or the ease of filling your cancelled reservation.

Ultimately, Healing Palms of Kauai would like to accommodate the special needs of each participant. We will do whatever we can to facilitate a win-win situation.

Mahalo Nui Loa (Thank You Very Much)!