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INFORMATION FORM

Please provide the following contact information:

First Name

Last Name

Home Phone

FAX

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Tell us what you are interested in ... ?

Have you visited Costa Rica before ?
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If you answered YES, which areas?
Are you planning to visit Costa Rica ?
Yes No I'm in Costa Rica now
If you answered YES, when?
What type of property are you interested in?

In what price range:
Do you have any special requests, or questions?

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RE/MAX - Coastal Property, Sámara, Guanacaste, Costa Rica
Calls coming from North America please dial 011
Telephone: 506-2- 656-0547 Fax: 506-2- 656-0972
Mailing address: REMAX Coastal Property, APDO-97-5235,
Sámara, Guanacaste, Costa Rica.
E-mail: info@remax-coastalproperty-cr.com

All contents copyright® 2006, High Tech Solutions De Sámara S.A. All rights reserved.
Revised: 04/10/08

All contents copyright® 2006, High Tech Solutions De Sámara S.A. All rights reserved.
Revised: 04/10/08