Survey

All the information provided bellow will be kept strictly confidential.

 
Dr Name *
 

Address *
 

Phone *
 

Fax
 

E_mail
 

The type of seminar you would like to have
 

Length of the Seminar?
 

How long would you like to stay in Costa Rica?
 

How much, including hotel, would be fair for the type of seminar you selected?
 

Which activitiy would you be most interested in?
 

What time of the Year would you prefer to visit Costa Rica?
(Dec - April is most expensive)
 

How much time in advance do you need to plan your trip?
 

If you would like to travel with a guest please indicate which type.
  Wife / Husband
  Family
  Employees
  Friend's