Full Name:                 

Phone #:      E-mail:     

Arrival date to Costa Rica:           Number of days in Costa Rica:    

Number of people:                           Number of nights at Petit Hotel:   

Arrival 1:                                   Leaving 1: 

Arrival 2:                                   Leaving 2: 

Arrival 3:                                   Leaving 3: 

Type Rent a Car:     Select One Isuzu Trooper Mitsubichi Montero Suzuki Samurai Sedan

Pick up date 1:                           Droop off date:       

Pick up date 2:                           Droop off date:       

Tours

Coffee Tour:                                          Date:

La Paz Waterfall Gardens:                       Date:

Pachanga Tour to Isla Tortuga:                Date:

Tortuguero:                                            Date:

Rafting:                                                  Date:

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