Reservation Form

This is the old reservations form.

You have reached this page in error.

Please return to our Jaco hotel homepage or our Playa Jaco Costa Rica page.

For Reservations please call:
(from USA dial 011 & number) 506-643-2211 or 2216

After we make the reservation by phone please print and fill out this page. 
Fax back to us at 506-643-3633

To reserve a room we require a 15% deposit.
Cancellations that are received later than one week prior to arrival are subject to
credit card charges equivalent to a one night stay.

*First Name:__________________________

*Last Name:____________________________

Company / Group (if any):________________________

*Country:________________________

Address:________________________________________________

*City___________________

*State / Province__________________

*Zip / Postal__________

Email:___________________

*Daytime Phone:_____________

Evening Phone:______________

Fax:_____________

Additional Information

*Arrival Date:______________

Arrival Time:____________

Length of Stay:_____________

*Departure Date:_____________

Air Carrier:____________________

Flight #___________

*Total Number of Persons:_______

*Number of Adults:_______

*Number of Children:_______ 

Do you need transportation from the airport?
                    (YES)              (NO)

Airport transfer will cost an additional $80.00Reservation Deposit

*Credit Card Information:      (VISA)        (Master Card) 

*Card Number:_____________________________

*Exp. Date:________________

*Signature:_____________________________________