Reservation Form

Reserve your space today for one of our Yoga Retreats!

Use our online Yoga Retreat Form to complete your reservation. Fields marked with a * are required

Contact Information

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone #*

Email Address*

Yoga Retreat Information

How long are you going to be in Santa Teresa / Mal Pais?*

How many guests will be traveling with you?*

When do you Arrive?*

When do you leave?*

What yoga retreat package are you interested in?*

How long will you be staying with us?*

Please tell us if you are interested in Shared or Private Accommodations*

Please Check the box below if you would like luxury accommodations.
 Luxury

*Click Here to review the different rates

Payment Information

Credit Card:

Surfing Costa Rica Pura Vida has partnered with PayPal® to accept credit card transactions. We accept Visa, MasterCard, American Express and Discover. To pay by credit card, "Click here to pay by credit card" and we will send you an email with information on how to make a payment. If you have any questions, please give us a call.

How would you like to make a payment?*

 Credit Card Money Order Wire Transfer Other

paypal

Put discount code below if you have one

Please Review Our Terms & Conditions and Cancellation Policy at http://surfingcostaricapuravida.com/cancellation-policy/

I agree to the booking terms and conditions. *

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