Please print and fax back to (506) 653-3807 |
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| Mailing address: | ____________________________________________ | |||||||||
| Telephone/Fax: | ____________________________________________ | |||||||||
| ____________________________________________ | ||||||||||
| Passport No.: | ____________________________________________ | |||||||||
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Accommmodation: |
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| Total_____ Adults_____ Children_____ | ||||||||||
| From date: | __________________ To date: ________________ | |||||||||
| Number of nights: | ___at rate of $______per night = TOTAL of $______ | |||||||||
| ___at rate of $______per night = TOTAL of $______ | ||||||||||
| TOTAL of $______ | ||||||||||
| Received full amount due _________ Received security deposit __________ | ||||||||||
| I have read over “Rates and Payments” and the renters “Rules and Guidelines”, and agree to abide by them. |
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Casa Azul 150 m norte del Hotel Capitan Suizo, Tamarindo, Provincia Guanacaste, Costa Rica Telephone: (506) 653-0294 / Telefax (506) 653-1868 Email: casaazul@nmd.de |
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