Encanta La Vida Reservation Form
The credit card authorization below must be printed out and faxed to us at 011-506-2735-5678.
Name: _____________________ Arrival: _____________________
E-mail: _____________________ Departure: _________________
Fax: _______________________ Phone: ____________________
Alt Phone: _________________
Rates and Methods of Payment
$ 85 per person per
day (+ 16.39% tax) = $98.93/person Pole House
$ 85 per person per
day (+ 16.39% tax) = $98.93/person Casona Rooms
$ 95 per person per
day (+ 16.39% tax) = $110.57/person Ranchito Room
$ 95 per person per
day (+ 16.39% tax) = $110.57/person New Deluxe Cabins
$105 per person per day (+ 16.39% tax) = $122.21/person Honeymoon Cabina
Children under 8 years pay 50.00 (+ 16.39% tax) = $58.20
Adults _____ x _____ (rate) x _____ (nights) = _______ Total Lodging
Children _____ x _____ (rate) x _____ (nights) = _______ Total Lodging
Total Lodging ________ x 50% = ________ Deposit Required
Balance of 50% on total is due upon arrival.
I authorize Encanta La Vida Rainforest Lodge to charge the following amount to my Credit card and additional amounts pursuant to the Cancellation policy below (with or without my signing the voucher).
Card Number: __________________________ Exp Date: _________________
Name (as appears on card): __________________________________________
Signature: ___________________ Passport #:_____________________________
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In order to confirm your reservation, complete and fax this form to us. By signing this credit card authorization your reservation is initially guaranteed for 15 days. (We will not charge your Credit Card during those 15 days unless you wish to make the actual deposit with your Credit Card which will include a 4% service charge that the bank charges everyone down here so...most folks prefer to send a check.) You must send a check to the California address* and we will be notified immediately after the deposit received. We encourage you to pay the final amount by cash or travelers checks when you arrive, or you may prepay.
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50% deposit being made by: VISA ( ) Master card ( ) Check to U.S. office* ( )
Please make the check out to Brian Daily 1187 Coast Village Rd Ste 302 Monticito CA 93108
