Please fill (computer) in all REQUIRED fields marked with an asterisk (*) to avoid delays in your reservation.
Print and fax this form back with your signature in order to confirm your reservation to the
fax number (506) 479-8336.
Or if you prefer you can send this form by the Send botton.

 

Personal Information

*Name:
*E- Mail:
Street Address:
 
*Postal Code:
City:
*Country:
*Telephone:
Fax:
Heard of us from:
*Solicitude Date : / /
 

___________________________________________________________________

Lodging Information

*Quantity of Rooms:
*Quantity of Adults:
*Quantity of Childrens:
*Type of Room:
*Date IN: / /
*Date OUT: / /

___________________________________________________________________

Payment Information

I (Name as appears on the credit card) here by authorize Hotel Coloso Arenal to charge my

Other:
*Credit Card Number: (Double check your entry!)
*Expiration Date: /
Bank Code: (AMEX or VISA)
*In the amount of US$ (plus tax)
Observations:

 

I have read and accept the conditions of the reservation and I
agree to pay the amount here authorized, even though I have not signed
the original charge note or voucher. I agree to pay this amount in case
of "NO SHOW" or cancellation 30 days before date reserved.


* Signature ____________________________

 

Print Form to send by  fax

 

           

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