ECOSCAPE NATURE TOURS - FAX RESERVATION FORM
Please fill out and send to fax # (011-506) 297-0549 - Direct dial from North America
From other parts of the world please check with your operator for the country code of Costa Rica. Our fax # in Costa Rica is 297-0549. Phone #s: 297-0664
NAME: 
DATE:
HOME PHONE
# : E-MAIL:
FAX # :
WORK PHONE # :
CITY:
STATE: COUNTRY:
DATE & TIME OF ARRIVAL
TO COSTA RICA:
HOTEL WHERE YOU WILL STAY:
NUMBER OF ADULTS:
# of CHILDREN UNDER 12:
Choice of Tour: DATE:________________________
(OVERNIGHT TOUR DATES:
Day In Day Out ______________________)
CREDIT CARD TYPE :
NUMBER :
NAME ON CARD:
EXP DATE:
(To calculate total amount due below Please check RATES PAGE)
I
authorize Ecoscape S.A. to charge the amount of
U.S.$
to the credit card issued in my name, specified above, for the services which
I have also indicated above. I also agree that in case of not showing up on
tour date or if I fail to cancel services VIA FAX a minimum of 48 hours before
tour date in the case of the ONE DAY TOUR or a minimum of 5 days before tour
date for the OVERNIGHT OPTION, a late cancellation fee of 50% of the total
amount due for the services I have specified above will be charged to my credit
card.
SIGNATURE:
LIC. OR PASSPORT #:
COMMENTS:________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
RESERVATION SUBJECT TO AVAILABILITY OF SPACE - WE WILL CONFIRM VIA FAX OR E-MAIL AS SOON AS POSSIBLE
THANK YOU FOR CHOOSING ECOSCAPE NATURE TOURS
