Fax Reservation Form

Please print this form and fax it to our TOLL FREE (from the US) fax number 1-866-527-5558

Note: You may type in your information in the fields, and then print it.

First and Last Name

Customer ID (Please enter your first initial and first four letters of your last name, example: SGOOD)

E-mail Address
*Required

Your email address is important to us in case there is a problem with your transaction. Please enter your complete email address carefully. We do not sell this list to any other companies.

Address




City


State


Zip


Country


Telephone


FAX

Please enter the dates you are making reservations for here:

For which hotel are you making this reservation?

In this next box, please indicate which package tour you want to reserve.  If you are not reserving a package, please let us know what tours you want to reserve for. EXAMPLE: 6 nights, 2 dolphin swims, Corcovado National Park.

If this reservation is for more than one person, please enter additional names here:

DrakeBay.info requires a fifty percent (50%) deposit PER PERSON to reserve your space. Payment in full is due three weeks before arrival. Please enter the total amount you wish to deposit:
$

If you have any questions or comments, please enter them here.

I have read and understand The Cancellation Policy
(Please type "Yes" in this box)

Type of Card:


Credit card number: Expiration Date:

Three Digit Security Code:


Signature: ________________________________________________