Information
Name: *
Number of guests in your party:
Arrival Date:
Departure Date:
Total Number of Nights
Total Number of Villas Desired:
Type of room desired:

Villa Number 1

  • King Bed

Villa Number 2

  • Queen Bed

Villa Number 3

  • 2 Double Beds

Villa Number 4

  • 2 Double Beds
Type Credit Card Used to Reserve your Room

MC Visa Diners Club Amex Carte Blance || Other:

Full name as it appears on credit card:

Expiration Date:

Credit card number:    Authorization Code:

If you will be paying in cash for your stay, please put this check

The 10% discount will be applied at Check-Out.
 

We will send you confirmation of your reservation within 24 hours.

Would you prefer us to fax  or email confirmation of your reservation
 

Your Fax Number:

Your Email Address:

 

Please list any questions or requests below and we will be happy to assist you. 
Thank You for Selecting Abercam La Fortuna. We Look Forward to Seeing You Soon!

  email:costa4me@bellsouth.net  Office: (506)2479-7383  Fax: (506) 2479-8429
Best Regards,
 Wayne Campbell and Tim Abernathy, owners of Abercam La Fortuna
Coments:
 
  

                 
 

         
 

      
 

     
   

 


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