Paradise Air
Reservation Request


Contact Information

First Name Last Name
Email Address Fax Number

Please be sure to include your fax number if you are paying by credit card.
We will need to fax you a credit card authorization form, in order to have
a signature on file, which is required in Costa Rica.


I would like a reservation for:

Number of passengers Round Trip One Way

Type of plane:

From: To:

Departing on the day of
Returning on the day of

I would like to pay by: Credit Card Check or Money Order

If you chose to pay by check or money order, the e-mail confirming availability
will include our mailing address and date by which we must receive payment.

Additional Comments (Optional):


Travel Agents Only

Agency Name IATA or ARC#
Contact Name E-mail