International Credit Card - Charge Authorization Form

Phone/fax:+(506) 442-5010
P.O.Box 1679-4050 Costa Rica
Electronic mail address: info@allcostaricaguide.com

NOTICE!

Please fill out this form, print it and send it by fax or email a scanned copy in order to complete your reservation.IS MANDATORY TO ATTACH TO THIS FORM A PHOTOCOPY OR SCANNED IMAGE OF YOUR CREDIT CARD BOTH SIDES AND A COPY OF YOUR PASSPORT AND SEND IT BY FAX (506) 442-5010  (Above number) OR EMAIL ATTACHMENT (Email address above).

Date (day/month/year):[____/____/______]

I [___________________________________________________]
                        (As it appears on the credit card)

hereby authorize IDEAS GRAFICAS S.A. to charge my 

Expiration Date (month/year) [____/______],

Issue date (month/year) [____/______]

in the amount of US$ __________._____ .Bank Code

(last numbers the back of the CREDIT CARD) [______].

Concept of charges:____________________________.




_________________________________________________________
Credit Card holder's signature

Confirmation number:[____________________]

I have read and accept the terms and conditions of the reservation and agree to pay the amount here authorized, even though I have not signed the original voucher in case of I don't show up the day of the service or if I cancel the service within the term 7 days prior departure or if I expressly chose this same credit card information as my final method of payment.

Please PRINT CLEARLY the first & last names of those traveling as they appear on travel documents to verify spelling. This must be filled in before vouchers can be issued. If the voucher  does not match your passport they will have to be reissued at fees over $100.00.

TERMS AND CONDITIONS FOR RESERVATIONS OF HOTEL AND TOURS
- PLEASE READ-

Cancellation Policy (Non Peak Season)

Cancellation made 30 days before the check in is a 100 % refund.
Cancellation made 16 to 29 days before the check in is a 75% refund.
Cancellation made between 0 to 15 days before the check in is non-refundable.

Bookings & Reservations

The form below allows you to reserve room(s) with us .We will respond to your email address to confirm if rooms are available.