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Personal Information
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Country
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Other
# adults?
# Childrens?
Ages?
Arrival Flight Nº
Airline Company
Telephone
Fax
Service Information
Type of Car
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Sedan Subcompact Spark or Similar
Sedan Compact Aveo or Similar
Suv Compact Terios Manual or Similar
Suv Compact Terios Automatic or Similar
Suv MidSize Rav4 or Similar
Suv MidSize Outlander or Similar
Suv Full Size X-Trail or Similar
Suv Premiun Man Vitara XL7 or Similar
Suv Premiun Terracan or Similar
Suv Premiun Auto Vitara XL7 or Similar
Other
List of cars
Additional Driver
Yes
Child restraint System
Yes
Roof racks
Yes
Under Age Insurance
Yes
Cell phone ?
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No
Yes
GPS ?
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No
Yes
Pick up:
Day
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31
Month
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Jan
Feb
Mar
April
May
June
July
Agoust
Sept
Oct
Nov
Dec
Year
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2008
2009
Hour
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00:00
00:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
05:00
05:30
06:00
06:30
07:00
07:30
08:00
08:30
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
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AM
PM
Drop off:
Day
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1
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19
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23
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25
26
27
28
29
30
31
Month
-
Jan
Feb
Mar
April
May
June
July
Agoust
Sept
Oct
Nov
Dec
Year
-
2008
2009
Hour
--
00:00
00:30
01:00
01:30
02:00
02:30
03:00
03:30
04:00
04:30
05:00
05:30
06:00
06:30
07:00
07:30
08:00
08:30
09:00
09:30
10:00
10:30
11:00
11:30
12:00
12:30
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AM
PM
Pickup Location
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San Jose Airport
Pavas Airport
Liberia Airport
San Jose Location
Guapiles City
Arenal City
My Hotel
Other Place
Not Secure to be advise
Dropoff Location
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San Jose Airport
Pavas Airport
Liberia Airport
San Jose Location
Guapiles City
Arenal City
My Hotel
Other Place
Not Secure to be advise
Credit card Information
* Type Credit Card
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VISA
MASTERCARD
AMERICAN EXPRESS
Diners Club
Other
* Credit Card Number
* Expiration Date
Month
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01
02
03
04
05
06
07
08
09
10
11
12
Year
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
* Secure Code
Additional Comments
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