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A valid passport with at least six months remaining prior to  expiration is required to travel to this destination

In order to receive a free, no obligation price quote please fill out the following form. Be sure to include all of the information as incomplete forms will delay or prevent processing. Please verify that the contact information (especially e-mail address) is correct so that we can get back to you as quickly as possible. Quotes are returned in approximately 24-48 hours.

CONTACT INFORMATION: *blue fields are required

Name          Daytime Phone #  

Evening Phone #   

E-mail (please be accurate)  E-mail (Re-Confirm)

Best time to call       

TRAVEL INFORMATION:

Number of Adults     Number of Children Ages

Departure Date:    Month    Day Year LATE 2006 RATES NOT YET AVAILABLE

 Return Date:         Month    Day Year

Do you need airfare? Yes   No

If yes, what is the departure city?

Name of Resort (s)  

** Please Note** Most Hotels  in Tambor & North Pacific Area require first and last night stays in San Jose unless you arrange your own transportation to hotel from airport 

Meal Plan   

 If you are requesting a quote for more than one hotel, please specify the hotels in the comments

Select a Room Category

MY TOTAL BUDGET FOR THIS VACATION IS 

If Selected hotel exceeds budget, recommend hotel within budget? Yes   No

Occasion   

If you have received a quote from another agency please provide the name of agency and price person you were quoted for. We will do our best to beat any valid quotes.

If yes, which agency?

Price per person quoted $ Which Hotel and room category?

COURTESY HOLD (optional)

If your dates are outside of 45 days of travel and you would like a Free Courtesy 7 Day Hold, please supply the legal names of all passengers traveling. This will secure both your price and air and hotel room for 7 days. We will e-mail you a detailed itinerary with deposit and payment information should you decide to guarantee and finalize your vacation. 

Where are you in the planning stage?

I would like a courtesy hold Yes   No     

ALL PASSENGERS NAMES FOR COURTESY HOLD (Cannot hold without names)

COMMENTS

Please provide any additional resort requests, information or comments that you feel are important in planning in your vacation.

In order to process your request, please make sure all information (especially e-mail address) is included and correct, then hit submit. Please do not submit more than 1 request per day.

FOR FASTER SERVICE CALL US

786-221-5512 Local (Miami)               509-463-4160 FAX

Note: If you are ready to purchase your vacation please print and fax our Credit Card Purchase Form

Escape to Eden Vacations accepts ALL major Credit cards... Discover... MasterCard...Visa....AMEX

Accept Credit Cards, Mastercard, Visa, American Express, Discover, Merchant Account, atm,debit,merchant,home based,mail order, internet, online, commerce, bank