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*Title:
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*First
name: |
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*Last
name: |
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*Telephone: |
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Fax: |
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*Email |
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*Verify
Email: |
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*State:
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*Country |
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*Number
of adults: |
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*Number
of children: |
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Ages of
children: |
( example: 4,
7, 9, 16 ) |
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Flight
#:
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Arrival
Date: |
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Arrival
Time:
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Departure
Date: |
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Departure
Time:
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Per
Night Hotel Budget:
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Number
of Rooms: |
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Which
areas are you interested in?
If
you are interested on watching
certain specific animals
during your
trip, please choose from the following:
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Which
activities would you like to do?
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*Please choose from one of the following
options for transportation:
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*Please let us know if you are interested
in an ALL INCLUSIVE hotel:
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*Please
let us know your budget for the entire trip, excluding
airline tickets (hotels, activities, transportation):
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***Airfare is not
provided by The Costa Rican Connection
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*Please let us know what is the purpose of
your trip to Costa Rica:
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Please add any comments:
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