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Hollyhock - Island Getaway Health Retreat

If you need a ride, fill in this form, and your request will be posted on the rideshare board.

Please remember that Hollyhock is not responsible for any arrangements made on the Rideshare board. The Rideshare service is here for your convenience and all arrangements entered in to are your responsibility.

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Direction		I'm heading to Hollyhock from I'm heading to from Hollyhock
Province/State		PROVINCEAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonSTATEAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict Of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyomingOTHER
I'm leaving  on		(yyyy/m/d)
I'm arriving on		(yyyy/m/d)
Water Taxi		Do you want to share a water taxi charter between Campbell River and Cortes? Yes     No
Smoking		Is smoking acceptable? Yes     No
First Name
Last Name
Email
Home Phone
Work Phone		ext.
		Please use this area to elaborate on your travel plans.
Comments
		Pressing Submit constitutes acknowledgement that Hollyhock is not responsible for any arrangements made on the Rideshare board. The Rideshare service is here for your convenience and all arrangements entered in to are your responsibility.