Costa Rica Tropical Tour.

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RESERVACION

Nivel 1

PERSONAL INFORMATION.

Name & Last Name:*:

Contact e-mail:*:

Phone, Fax (Add Country Code)*:

Address: (Add country),*:

Age and Number of members of group:

Arival Date Date::

Departure Date::

Adults:

Children´s:

CREDIT CARD INFORMATION (NON MANDATORY):
AMERICAN EXPRESS
MASTER CARD
VISA
OTRAS

CREDIT HOLDER NAME:

CREDIT CARD TYPE:

CREDIT CARD NUMBER:

CREDIT CARD EXPIRATION DATE*:

ADDITIONAL INFORMATION:
VEHICLE
VAN
OTROS

VEHICLE:

HOTEL OR PLACE NAME:

AIRPORT FLIGHT NUMBER & ARRIVAL TIME:

DETAILS PLEASE:

FOTOCOPIA DE PASAPORTE:

FOTOCOPIA DE CEDULA:

Escribir los caracteres visualizados en la imagen inferior*:

VERY IMPORTANT!!
Please double check all the information above. This form will be taken as a final conformation of
your trip in Costa Rica.

We accept all major credit cards
Costa Rica's National Tourism Chamber (CANATUR) Costa Rica Tourism Board (ICT)