You can fill the form next to be able to have information about the hotel we take care of to him better! First Name: E-Mail: Phone: Adress: Country, state Arrive: number of people: Additional, comments and expectations, that want to obtain with this voluntary service, your qualities and observations: 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 _____/______/______ Card Holder Signature _______________________To enclose copy of the main page of the passport  to the Hotel via fax (506-2234-8203) or via e-mail casaorquideas@yahoo.com

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