Reservations Form

First Name:
Last Name:
Country:
Phone:
Fax:
Email:
Confirm Email:
Number of guests:
Number of rooms:
Children under 10:

Occupancy:
Waiting for someone else?
Special requirements:
 
 

Tels. (506) 2239-2967 - (305) 848-5834 - Fax. (506) 2239-2967 - Heredia, Costa Rica email: belensuites@yahoo.com