1. My Contact Information
*Full Name :
*Sex:
Female
*Email Address:
*Verify Address:
*City:
*State:
*Country (where you live)
*Nationality:
Contact Numbers: *Phone:
Phone 2:
Fax
2. ACCOMODATIONS( Your privacy is protected )
2-a. Sleeping arrangements.
How many single rooms, double rooms, triple rooms; and how many bed per room?
2-b. Number of travel partners (including yourself):Over 10 yeras old
Adult 1 2 3 4 5 6 7 8 9 Over 10 Child between 2 and 11
Baby 0 - 2 yrs 1 2 3 4 5 6 7 8 9 Over 10 Baby between 2 and 0
Child 2- 11 yrs 1 2 3 4 5 6 7 8 9 Over 10 2-c. Hotel Alternative preferences1. Large Resorts (3 to 5 stars, over 100 rooms, $150+ for a standard room) offering a wide array of activities.
2. Medium Hotels (3 to 4 stars, 70 to 120 rooms, $80 - $150 per standard room) featuring full services
3. Small Hotels (3 to 4 stars, up to 50 rooms, less than $75 per standard room) with limited services.
4. Boutique Hotels (4 and 5 stars, personalized service, $120+ per standard room)
5. Bed and breakfast type hotels (2 to 5 stars, less than 30 rooms, family managed)
6. All inclusive resorts
2-d. Special Requirements (handicap, food, medical/health limitations)?
2-3. Is anyone in the group celebrating a milestone?a. Wedding Anniversary
b. Birthday
c. Honeymoon
d. Other (please specify):
3. MY TRAVEL DATES
My travel dates are fixed
Starting date:
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Month January February March April May June July August September October November December Year 2010 2011 2012 2013 Ending date:
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2010 2011 2012 2013 My travel dates are flexible
4. INTERNATIONAL FLIGHT INFORMATION
My international flights:
ARE already booked ARE NOT already booked Arrival City:
San José Juan Santamaría Intl Liberia Internacional Arrival Date:
(yyyy-mm-dd)
Arrival Flight No.:
Departure City:
Select one... San José Juan Santamaría Intl Liberia Internacional Departure Date:
(yyyy-mm-dd)
Depart Flight No.:
5. TYPE OF ACTIVITIES
5-a. Please indicate the activities you would like to participate in during your tripWhite Water Rafting
Caving
Canopy Tours
Golf
Nature Watching
Rock climbing
General Sight Seeing
Spa Treatments
Mountain Biking
Surfing
Horseback Riding
Hiking
Casino / Gambling
Birding
Wind Surfing
Natural History
Scuba Diving / Snorkeling
Real Estate
Deep Sea Fishing
Culture
Yoga and well-being
Horticulture
Other Specific Activities:
6. TYPE OF DESTINATION TO VISIT
Please indicate the type of destinations you would like to visit on your trip
Beaches
Rain / Cloud Forest
Volcanoes
San Jose and Central Valley
Hot Springs
Parks / Wildlife Reserves
Waterfalls
Other
Other specific destinations:
6B. GUIDE INFORMATION
Special Guide Request
Guide
No guide General guide Birding guide Natural history guide Cultural guide Horticultural guide Other
6C. OVERALL FOCUS OF YOUR TRIP
What is your main goal for this trip?
7. TYPES OF LOCAL TRANSPORTATION
1. Local transportation is always required when visiting Costa Rica . Please specify your preference. We will give you logistical advise to maximize your choices
Rent a car
Air transfers
Use shuttles
Boat transfers
Private drivers
Other
Other:
8. DAILY BUDGET
What is the budget per person per day for lodging, meals, transportation and activities? Not including international airfare nor airport taxes).
We will always strive to give you the best value:
Type the word:
