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Pura Vida Costa Rica Retreat
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7
Questions
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Phone Number
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Area Code
Phone Number
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4
Which accommodations would you like to reserve?
*
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King Villa (single occupancy)
King Villa (double occupancy)
Single bed in dormitory
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5
Would you like to room with someone in particular?
YES
NO
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6
If so, please write their name(s).
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7
My Products
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My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Deposit
Non Refundable. Deducted from total cost
$
450.00
+
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