Name:
Email address:
Address:
City, State, Zip:
Country:
Phone number:
Fax number:
Approximate Dates of Travel:
How many Adult are traveling?	1 2 3 4 5 more than
How many children are traveling?	No Children 1 2 3 4 5 more than Their ages: 0-5 5-10 10-15 15-17
Type of Accommodations:	Deluxe Moderate Resort B&B Lodge Other:
# of Rooms:	1 2 3 4 more than
# of Beds:	1 2 3 4 more than
Select the areas and activities and places of interest:
Rafting Scuba Diving Rain Forest Hikes Sport Fishing Ecology Adventure Honeymoon Student group         Monteverde Arena Tortuguero Corcovado Manuel Antonio Guanacaste Caribbean Other
Would you like to rent a vehicle ?: YES NO If you prefer transfers, what kind ? None Ground By air Shuttle Private For additional information or questions please fill in the area below: