Fax Request for Confirmed Hotel Reservations
Samara Beach, Guanacaste, Costa Rica

1. Complete ALL fields on the form below.
2. Print this page.
3. Sign at the bottom of the printed page.
4. Fax the page to Villas Kalimba ~ Fax: +506 2656-0930

This Authorization Covers The Services Outlined Below:

To: 

Villas Kalimba
 

Description 

Amount Total  

Card Type  

Card Number  

Expires  

Card Holder Name  

Billing Address  

Telephone  

Fax  

E-Mail  


Cancellation and no-show refund policy:
  • A Full refund for cancellation made more than 31 days prior to reservation date.
  • A 50% refund for cancellation made 30 to 15 days prior to reservation date.
  • No refund for cancellation made 14 days prior to reservation date.

I hereby authorize the recipient of this form to charge my credit card for confirmed reservations as outlined above.

Authorized Signature:

X