Hotel Plinio - printable reservation form

Hotel Plinio Printable Reservation Form

For Reservations:
Print and then Fax the following Signed Authorization of Credit Card Deposit of your fist room night and fax to: 011(506)777-0558

Hotel Plinio
phone:011(506)777-0055
fax:011(506)777-0558

Or Snail Mail to:
PO Box 71
Manuel Antonio, Quepos
Costa Rica, Central America

Our Receipt confirms your reservation. On the same day we receive your information, we will fax your confirmation.

Rates:

April 16, - November 30, 1998

Standard Room $35
Standard with Air Conditioning $40
Two Story Suite $50
Three Story $60
Jungle House $50
Tax included

December 1, 1998- April 15

Standard Room $50
Standard with Air Conditioning $60
Two Story Suite $70
Three Story $90
Jungle House $70
Includes Breakfast
Tax Included

All rates are for two people. Add $15 extra per person.

ARRIVAL DATE: ___/___/____ DEPARTURE DATE: ___/___/____

DEPOSIT (FIRST ROOM NIGHT RATE): $______________

# OF ADULTS______ # OF CHILDREN_________

ROOM TYPE:_____________________________ # OF ROOMS__________

I ___________________________ do hereby authorize Hotel Plinio or their agent to charge my credit card a deposit in accordance with the Reservation Policy and Cancellation Terms, which I have read and understand. By signing this document, the client agrees to be bound by Hotel Plinio's regulations and conditions without appeal.

NAME____________________________________________________

ADDRESS_________________________________________________

CREDIT CARD NUMBER____________________________________

PASSPORT # _____________________ COUNTRY ______________

CREDIT CARD TYPE_____________________ EXP. DATE________

BANK CODE________________ FAX #______________

NOTES: An AMEX card is invalid without the bank code. This code appears on the right side on the line before the card number.

SIGNATURE_______________________________________________

I realize that if I cancel or do not show up for the first night, the first night room rate will be billed to my credit card and all room reservations for the following days will be cancelled.