Arenal Volcano, Costa Rica - Hotels, Tours, Vacations

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) 2479-8336.
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