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Country:

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofkuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuanaLuxembourgMacauMacedonia, The Former Yugoslav Repulic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVincent and the GrenadinesVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe

Email:

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Phone:

# of people traveling:

Adults Children (0-12)

Specify ages of children at time of travel:

Child 1: Child 2: Child 3: Child 4: Child 5: Child 6:

Arrival date:

Depart date:

Total Days:

Arriving by :

Bus/CarPlaneShip

Tour guide needed?

NoYes

Language:

DutchEnglishFrenchGermanPortugueseSpanish

Best description of the group:

BusinessCoupleFamilyFriendsHoneymoonOtherSurfers

Hotel Preference:

All InclusiveBudgetExclusiveHigh-EndHouse Rental/CondoModerate

Transportation preference:

Any TypeFully Guided ExpeditionLocal FlightPrivate TransportationRental CarSeveralShuttle Transfer

Price Range:

$60-$79$80-$99$100-$199$200 +

Car model: (Rent car or several)

4x4 Compact4x4 Full Size4x4 StandardMinivanNo PreferenceSedan

Transmission preferences:

AutomaticManual

Additional Requirement:

Required Inclusions
(Example: Physical limitations, wheelchair needed, vegetarian, allergies)

This type of locations (check all that apply)

Mountains

Volcanoes

Rainforests

Cloudforests

Valleys

Pacific Beaches

Caribbean Beaches

Waterfalls

Rivers & Lakes

Cities

These Highlights (check all that apply)

Arenal Volcano Nat. Park

Manuel Antonio Nat. Park

Rincón de la Vieja Nat. Park

Celeste River

Sarapiquí

Palo Verde Nat. Wildlife Refuge

Monteverde Reserve

Corcovado Nat. Park & Caño Island

Santa Rosa Nat. Park

Caño Negro Nat. Wildlife Refuge

Tortuguero Nat. Park

Guayabo Arch. Nat. Monument

Poás Volcano Nat. Park

Irazú Volcano Nat. Park

Braulio Carrillo Nat. Park

The Beaches (s: for surfing too) (check all that apply)

North Pacific Coast (P.C.)

Central & South P.C.

The Caribbean

Potrero, Naranjo, WR (s)

Tamarindo & Negra (s)

Jacó & Hermosa (s)

Cahuita

Panamá & Hermosa

Nosara, Sámara, Islita (s)

Manuel Antonio (s)

Gandoca-Manzanillo

El Coco & Ocotal

Sta Teresa & Malpais (s)

Dominical & Uvita

Puerto Viejo (s)

Conchal, Brasilito, Flamingo

Montezuma & Tambor

Matapalo & Pavones (s)

Punta Uvita & Cocles

These Activities (check all that apply)

Canopy

Canyoning

Rapelling

Horseback Riding

Walks/Hikes/Treks

Rafting

Kayaking

Scuba Diving

Island Cruises/Sailings

Mountain Biking

Surfing

Tubbing

Snorkeling

Hotsprings & Spas

Caves

These Watchings (check all that apply)

Birds

Dolphins & Whales

Wildlife

Quetzals

Turtles Nestling

These Eco & Natural Tours (check all that apply)

Banana Tour

Coffee Tour

Chocolate Tour

Sugar Tour

Pineapple

Butterfly Farm

Frog Pond

Serpentarium

Insects

Botanical Gardens

Indian Villages

City Tours (Traditions, Museums, Historical Buildings and Monuments)

Comments (Be a specific and detailed as possible. Example: Expectations, any other tour, special dates)