(o) 011-506-682-0300

(f)  011-506-682-0873

info@nosaratravel.com

www.nosaratravel.com

Nosara Travel

& Rentals

Playas de Nosara

Costa Rica

AIR CHARTER:

FLIGHT RESERVATION REQUEST

PASSENGER INFORMATION

*First Name:

FIRST PASSENGER

*Last Name:

*Nationality:

SECOND PASSENGER

First Name:

Last Name:

Nationality:

  THIRD PASSENGER

First Name:

Last Name:

Nationality:

  FOURTH PASSENGER

First Name:

Last Name:

Nationality:

FLIGHT INFORMATION

From:

To:

Date:

Preferred Time:

Preferred Charter Company:

CREDIT CARD INFORMATION

Type:

Owner's Name (as it appears on the card):

Number:

Expiration Date:

Verification Code*:

  FIFTH PASSENGER

First Name:

Last Name:

Nationality:

SIXTH PASSENGER

First Name:

Last Name:

Nationality:

SEVENETH PASSENGER

First Name:

Last Name:

Nationality:

BAGGAGE & OTHER INFORMATION

Approximate total weight of all baggage:

Approximate number of bags:

Number of surfboards:

Length(s) of surfboards:

Other:

Other:

**IF YOU HAVE MORE THAN SEVEN PASSENGERS  FOR THIS CHARTER FLIGHT, EMAIL info@nosaratravel.com WITH THE ADDITIONAL INFORMATION**

**If you have no preference for a charter company, Nosara Travel & Rentals will choose the cheapest flight for you.**

NOTE: Flights are ONE-WAY ONLY. To make a reservation for round trip, fill out this form again with the returning flight information.

*Verfication code is the 3-digit number on the back of the credit card, normally located on the signature strip

Approximate total weight of all passengers:

(o) 011-506-682-0300

(f)  011-506-682-0873

info@nosaratravel.com

www.nosaratravel.com

Nosara Travel

& Rentals

Playas de Nosara

Costa Rica

(o) 011-506-2682-0300

(f)  011-506-2682-0873

info@nosaratravel.com

www.nosaratravel.com

Credit card  owner or person booking's EMAIL*

TYPE OF REQUEST:

Please fill out the form below to reserve a CHARTER flight.

THIS FORM IS NOT GOOD FOR RESERVATIONS UNDER 4 DAYS AWAY: PLEASE ALSO CALL US AFTER SUBMITTING IT SO WE CAN EXPEDITE YOUR RESERVATION IF IT IS FOR LESS THAN 4 DAYS FROM TODAY!!!!

Credit card information is necessary to make this transaction complete.

You may call or fax your credit card information to Nosara Travel & Rentals if you do not wish to do so here.  Submitting this information allows us to reserve an airflight for you.  If your information is incomplete, we will email you to follow up.

If you have additional requests for your CHARTER FLIGHT not noted in the request form,

please provide your request below. For example, you can also REQUEST a PRICE QUOTE only, HERE.

ALSO: IF YOU NEED THIS REQUEST TO BE EXPEDITED BECAUSE IT IS LESS THAN 4-5 DAYS AWAY,

PLEASE WRITE "EXPEDITED REQUEST" BELOW.

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Air Charter Reservation