Hotel Leyenda
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 Hotel Leyenda ~ Fax: +506 2656-0003

This Authorization Covers The Services Outlined Below:

To:  
 		 Hotel Leyenda
 
Today's Date:  
Description:  
Amount Total:  
Card Type:  
Card Number:  
Expires:  
Card Holder Name:  
Billing Address:  
Telephone:  
Fax:  
E-Mail:  

Cancellation and no-show refund policy:

High season, Easter and Gold Week

  • More than 45 days before arrival Full refund
  • 45 to 30 days 50% Penalty
  • Less than 29 days before arrival No refund

Low season

  • More than 21 days before arrival Full refund
  • 20 to 15 days before arrival 25% Penalty
  • 14 to 7 days before arrival 50 % Penalty
  • 6 or less days 100% penalty
I hereby authorize the recipient of this form to charge my credit card for confirmed reservations.

Authorized Signature:

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