Travel Registration Form, UCLA Dentistry Hawaii 2022

Main Travel Dates:
Saturday, June 25 or Sunday, June 26 to Saturday, July 2,  2022
University Travel
1888 Eucalyptus Road
Nipomo, CA 93444

University Travel UCLA Dentistry Desk: (818) 563-9235

Or general numbers; (818) 563-9808 (ext.201)   Toll-Free Nationwide: (800)-821-5094

FAX: (818) 563-9842    email:

Deposits may be paid by check or by credit card information below.
CST registration # 1015591-40  

California Seller of Travel Information available here:


Accompanied by (please list children's ages if 18 or under).
Grand Hyatt Kauai Room Requirements *
Bedding preference (does not apply to suites) Note request only, not guaranteed.
Flights: *
Note regarding flights: Due to security requirements, please call our office at (800) 821-5094 x 201 or (818) 563-9235 with the following information: flight reservations now require passengers to use the full name exactly as shown on your picture identification including middle name(s). Passengers date of birth and gender are also required.
Rental Car *
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Secure Credit Card Information:  (Please note - your card is not charged upon submission - we will charge it at the University Travel office once all of your reservations are confirmed).
American Express
Thank you! You will receive an acknowlegment e-mail followed by a email confirmation package.