* Required fields
Name *
E-mail Address *
Group Name:
Number in Group:
Phone Number:
Nationality:
Arrival Date:
Departure Date:
Desired Dates for Activities:
CCC-01 Jaki Combo Tour- Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-02 Ñampi Combo Tour- Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-03 Tilapias Combo Tour-Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-04 Pinzote Combo Tour- Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-05 Scuba Combo Tour-Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-06 Snorkeling Combo Tour-Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CCC-07 Indigenous Community Combo Tour-Full Day :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Difficulty Level Desired:
1-Easy to Moderately Easy
2-Moderate to Moderately Strenuous
3-Strenuous
Comments:
Accomodations Desired:
1-Bed & Breakfast
2-Bungalow
3-Camping
4-Budget Hotel/Motel
5-Hostel
6-Mid-Range Hotel
7-Vacation Rental
8-Luxurious Hotel
9-Other
Comments:
Who Books Accomodations?
1-Room Cost Included in Custom Package.
2-We Book for a Small Fee, You Pay for Rooms Directly.
3-We Provide Recommendations, You Pay/Book Directly.
How Important is a Good Selection of Restaurants and Shopping?
1-Very Important
2-Important
3-Not Needed
How Imprtant is Being "Off the Beaten Path"?
1-Very Important
2-Important
3-Not Needed
Specific Areas or Towns You're Interested in?
1-Sixaola
2-Gandoca/Manzanillo
3-Puerto Viejo
4-BriBri
5-Cahuita
6-Hone Creek
7-Puerto Limon
8-Siquirres
9-Guápiles
10-Pococí
11-Pocora
12-Guácimo
13-Other
Additional Special Requests/Preferences:
Payment Type:
1-SWIFT Bank Wire Transfer
2-Check
3-Cash
4-Other
