Playa Chiquita Lodge - Reservation Form

Please use the form, below to make a reservation at Playa Chiquita Lodge. On receipt, we will e-mail back your reservation confirmation, along with any information you might wish to receive concerning travel conditions in
Costa Rica, rates and reservation for vehicles, domestic flight schedules, etc. Children under 12 years are free.

Please fill the form and send for availability inquieries or reservation. For a confirmation on a reservation, you must copy the attached form signed and fax to 506 750 0408:

Please fill out the following information and press the SUBMIT button

Personal information:

Name

* required

E-mail

* required

Phone

Country

Lodging days:

In:	dd/ mm / yy	Out:	dd/ mm / yy

# persons

Adults
(+ 11 years):

Childs
(- 6 years):

Questions or message:

* required

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