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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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