Reservations Form
Date of Arrival
Jan
Feb
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Dec
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Date of Departure
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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Number of Nights
Name
Drivers License Number
State
Address
City
Zip/Postal
Country
Email
Phone Number
Fax
Primary reason for staying in the Las Penitas area?
How did you hear about the Pescado Negro Home?
Persons in your Travel Party (including yourself) Please list Title, Last Name, First Name, and Age
We will require the pool to be filled prior to our arrival
Yes
No
We will require a late check out at 1 p.m. on the day of departure (US$25)
Yes
No
I have read, understand and accept all of the
terms and conditions
*
Yes
No
