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Hotel Mimos Printable Reservation Form

For Reservations:
Print and then Fax the following Signed Authorization of Credit Card Deposit of 50% of your reserved stay, fax to:
FAX +(506) 777 22 17
Hotel Mimos
fax:+(506) 777 2217

Or Snail Mail to:
Mimos Aparthotel
PO Box 204-6350
Manuel Antonio, Quepos
Costa Rica, Central America

Our Receipt confirms your reservation. On the same day we receive your information, we will fax your confirmation.

Cancellation Terms (only for the Hotel not for entire CASA PURAVIDA):
Less than 15 days prior to check-in we charge for 1 night. No-show on arrival date, no refund.


 ARRIVAL DATE: ___/___/____ DEPARTURE DATE: ___/___/____
DEPOSIT: $___________
# OF ADULTS______ # OF CHILDREN______
ROOM TYPE:_____________________________ # OF ROOMS______
FAX NUMBER:___________________

I ___________________________ do hereby authorize Hotel Mimos or their agent to charge my credit card a deposit in accordance with the Reservation Policy and Cancellation Terms, which I have read and understand.

NAME____________________________________________________

ADDRESS_________________________________________________

CREDIT CARD NUMBER______________________________________

CREDIT CARD TYPE_____________________ EXP. DATE_________
NOTES:

SIGNATURE_______________________________________________

PASSPORT # ___________________________

 

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