COSTA RICA SPECIALTIES

Reservation Form

Please reserve: ___________places

Legal Name (as it appears on birth certificate or passport)

1)_____________________________________________________________________________________________

2)_____________________________________________________________________________________________

Address________________________________________________________________________________________

City, State & Zip________________________________________________________________________________

Home( )______________________ Office ( )__________________________

Fax:____________________________ E-mail:______________________________

Accommodations: ( ) Double room ( ) Single room

Enclosed is my deposit of $_________ ($300 per person) to hold my reservation. Please, make checks payable to Costa Rican Specialties. Final payment is due 45 days prior to departure

Card Number Exp. Date Name on Card Signature

Special Requests: (ie. vegetarian, prefers to be closer to main building at the different hotels)

Please return application and check to:

Costa Rican Specialties

1001 Pershing Dr

College Station, TX 77840

If you have questions about your trip please contact our main office at 1-888-336-7578.