Costa Rica Hotels Wildlife

Please use this reservation form to check for availability or to reserve your room/car. 
Please include the name of the HOTEL!

First Name:
Last Name:
E-mail:
Phone #:
Number of guests in your party:
Hotel:
(REMEMBER to write the name of the hotels)		 Hotel 1st Stay:

Check In Date:    

Check Out Date: 

Singles Doubles Triples
2nd Stay Hotel Hotel 2nd Stay:

Check In Date:    

Check Out Date: 

Singles Doubles Triples
3rd Stay Hotel Hotel 3rd Stay:

Check In Date:    

Check Out Date: 

Singles Doubles Triples
Tours
  Tour Code:    

Or Tour Name:

Car Rental:
Pick-up Date
Return Date:
Credit Card Information:
Credit Card:
Card#:
Expires: 
Name as it appears on Card : 
Credit card billing address zip code:  
If you Prefer you can submit your payment information after you receive a confirmation of availability of rooms, tours, etc, chosen. (However, to make a reservation a valid credit card is needed.)
Suggestions, additional information?