Reservation Form : NOSARA AND SAMARA BEACHES

Personal Data Name *
Email *
Address
City
Country

Provinces

State

Home Phone
Work Phone

* Indicates Required Field

Trip Details Adults
Children under 12
# Rooms Needed
# Beds per Room

Possible Dates Arrival Date

Departure Date

Comments

Please indicate if you have any special needs or requirements not specified here (or if there is something you specifically do not like to do):

Package Rates

November 1, 2011 to October 31, 2012
$ 645 (Car Rental)
Except Christmas, New Years & Easter Week
Rates are per person / double occupancy