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Please complete the following and submit to us:

* First Name:

* Last Name:

* Email:

Anticipated Arrival Date:

Anticipated Departure Date:

Anticipated Medical or Dental Procedure (s):

Please select one or more hotels of your choice:

Escazú Villas del Rio Suites and Apartments. Recommended when having dental ONLY. This hotel is an all-suites with kitchens hotel. Apartments with kitchens from $101.00. Sabana KC Hotel. Recommended when having medical ONLY, or both medical and dental TOGETHER. This hotel has rooms and Jr. Suites. Standard rooms from $83.00. Sabana Suites and Apartments. Recommended when having medical ONLY, or both medical and dental TOGETHER. This hotel has both rooms and apartments with kitchens. Standard rooms from $95.00.

Anticipated Number of people in your party:

Anticipated Number of Rooms

How many beds will you need? (per room): One Two Three

This is not a commitment. We will let you know availability only. Thank you!

We accept the following credit cards:

The * denotes mandatory field