Thank you for choosing to spend your vacation with us! We look forward to working with you.

Please fill out on the drop down you can choose # of passengers

Authorizing for $850 deposit. pp

Authorizing for Single occupancy$5,876 per person

Double occupancy$4,976 per person

Triple occupancy$4,946 per person

Final payment to be applied on or Before July 1 2024

Addtional payments can be applied on request.

All inclusive insurance is available for $599 per person. Please indicate if you would like insurance included. Insurance is payable at time of booking.

Please indicate if traveling from a gateway other than YYZ (Toronto) and need flights ( pricing will change based on new gateway) Also please indicate if booking single, double or triple occupancy. And if you require a room mate.

Insurance is highly recommended

AMOUNT

The total amount you are authorizing your card to be billed.

AUTHORIZED UNTIL

3 days after submission.

Trip Details

Trip_No:

Name:

Email::

Phone:

Address:

Main Contact Details

Client_No:

Name:

Email:

Phone:

Address:

Primary Traveller

First Name:*

Middle Name:

Last Name:*

Gender

Phone:

Email:

Citizenship

Date of birth:

Address

Address:

City :

Province/State:

Province/State:

Province/State:

Postal code:

Country:

Passport Details

Name on Passport:*

Passport Number:*

Passport Expiration:

Date of issue:

Nationality:

Preferences and Other Information

Attachments Section

Please upload a picture of your government issued identification. Identification is to include the card holders picture and address information.

Max upload limit : 3 MB

More Information

What gateway will you be flying from

Do you require Air from a location other than Toronto and if so where

Air from other locations will be an addtional fee. Would you like us to price out the air for you?

YesNo

Would you like a pre or post hotel stay in Toronto?

YesNo

Please include $599 for insurance in the deposit payment.

YesNo

Insurance Waiver: I understand insurance is a requirement for this trip and that insurance was offered to me by the Travel Advisor. I hereby decline the insurance that was offered and will provide proof of Insurance thru another provider.

Please indicate Occupancy.

Single

Double

Triple

Preferences and Other Information

Card Details

Authorization for Deposit payment for Rebecca Sutherns Retreat to Costa Rica.

Credit Card Type*:

Credit Card Number*:

Credit Card Expiration*:

Name on Card*:

Max Authorization Amount:

Billing Details

Same as Main Contact Address

Address*:

Unit/Suite/Apt:

City*:

Province/State*:

Province/State*:

Province/State*:

Postal/Zipcode*:

Country*:

Additional Details

Download a copy

I the undersigned acknowledge that I am the cardholder and authorize this Travel Provider or its chosen Travel Supplier to charge the provided credit card. I certify that the information provided is correct and accurate. I also consent to store this payment information and will be notified when any changes are made to the terms of use. I also acknowledge that transactions will contain the necessary payment details when storing or using cards on file (payment information).

I Agree

Signature:

Use mouse or finger to sign above line.

Yes! Please send me special offers and updates.

Submitting... Please wait.