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Reserve your room and complete the information!!
If it wishes to reserve its field of guaranteed form it can use our system of prepayment
By means of the present I, _____________________________, of legal age, national of ______________________________, carrying of the passport # ________________________________, and resident in _________________________________________, with tel #____________________, fax #____________________, email _____________________@________________________, authorize to Café Bar Raices del Yos (ced. jur.3-102-230896), Costa Rican company better well-known like BOUTIQUE HOTEL CASA ORQUIDEAS, to load to my card,
he marks _______________________________________________
# ___________________________________________________
date of expiration: ____/____
emitted by the bank ____________________________________
with seat in ___________________________________________ the sum of $________________ By concept of the purchase of services of lodging, feeding, tourist in general and others. The present authorization is valid a single time and single by the amount in dollars above written down (or its equivalent one in Costa Rican currency). Date _____/______/______ Company _______________________ To enclose copy of the main page of the passport and the card by both sides and to send them to the Hotel via fax (506-234-8203).
