HOTEL ARENAL GREEN

CREDIT CARD AUTHORIZATION AND PREPAYMENT FORM

 

NAME: _______________________________ Nº of adults (12 and over):____ Kids 11 or under (free): ____

 

 IN: _______/________/_______       OUT: _______/_________/_______   ROOMS REQUIRED   ________

         Day          Month     Year                         Day        Month        Year

 

(      ) Standard Private Cabin for 1 person:    $_________, tax include, US per night, per room.

(      ) Standard Private Cabin for 2 person     $_________, tax include, US per night, per room.

(      ) Standard Private Cabin for 3 person     $_________, tax include, US per night, per room.

(      ) Standard Private Cabin for 4 person     $_________, tax include, US per night, per room.

 

Sub – total= $_______ x number of nights: __________ = Total for the stay:  $_________.

Notes: ________________________________________________________________________________________

 

Hotel Arenal Green is a small family hotel and prefers payment with US or Costa Rican cash.

                               

RESERVATION AND CANCELATION POLICIES

 

Reservations, cancellations or modifications 15 days prior to the visit will be charged 100 % over the total number of nights on the credit card indicated bellow.

 

PHONE (        ) ________________________________   E-mail ____________________________

 

I________________________________ hereby accept the conditions described above and authorize to charge my credit card a 100%, of the total invoiced rack amount with 15 days in advance for prepayment or if I do not show or cancel my reservations at least 15 days before of arrival; even if have not signed the original payment form or voucher. If the credit card is rejected the reservation will be cancel or useless. I further acknowledge that I have understood the terms and conditions applicable to my travel reservation.

Credit card owners.

 

Name: _______________________________________    Signature__________________________________

 

Visa (      )          Master Card (       )         Popular Bank (      )        American Express (     )

 

Please write the safety number. Those numbers are the last three digits located behind your credit card, remember that they are the last three numbers at the left side of the credit card.

 

Credit Card Number # _________________________________ Exp Date___________ Code # ___________

 

PLEASE FILL THE FORM AND SEND TO THE FAX (506)  479 8383

IMPORTANT NOTE : THIS FORM ISN`T VALID, WITHOUT THE CREDIT CARD NUMBER

 

Telefax:  (506) 479- 8383 La Fortuna, San Carlos, Costa Rica

E-mail: info@arenalgreen.com      www.arenalgreen.com