Fax Request for Confirmed Reservations
Villas Kalimba,
Samara Beach, Guanacaste, Costa Rica


1. Complete
ALL fields on the form below. - 2. Print this page - 3. Sign at the bottom of the printed page
4. Fax the page to +506 2 656-0930
or take a picture and send it to email

 

This Authorization Covers The Services Outlined Below:

 

Reservation Dates


Villa type desired  
Arrival
   
  Type of Villa
*Nights
  Number of Adults
Departure
   
  Number of Villas

 

    Number of Children
under 6


Contact Information

Mr. Mrs. Miss Ms. Dr. None
 
City
*Name
 
Zip / Postal Code
Title
 
Country
Company
 
*Email
Address
 
Telephone
 
Fax
       
How did you find us?
     


Additional Comments and Requests


Billing Information

     
Amount Total   Billing Address 
Card Type     
Card Number     
Expiration Date      
Card Holder Name      
Telephone     E-Mail 
         
Cancellation and no-show refund policy: 
A Full refund for cancellation made more than 61 days prior to reservation date.
A 50% refund from cancellation made 45 to 30 days prior to reservation date.
No refund for cancellation made 29 days prior to reservation date.


I hereby authorize the recipient of this form to charge my credit card for confirmed reservations as outlined above.

Authorized Signature:


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