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Reservation Form

Name   

 

Last name   

 

Nacionality   

 

E mail   

 

Check In   

 

Check Out   

 

Month   

 

Year   

 

# Nights   

 

Room   

  Single    Double    Triple

# Passengers   

 

Special Requirement

 Payment     

By card         Wire transfer 

Cards Accepted   

Type of Card   

 

Card Number   

 

Expiration Date  

   Day       Month       Year 

PLEASE CHECK ALL THE INFORMATION
After your order of payment and reservation, wait for information by e mail.

 

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Tel (506) 2645-6256 / Fax (506) 2645-9961 / Santa Elena Monteverde - Costa Rica