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Mirage Car Rental

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# adults	# Childrens Ages?
Arrival Flight N
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How did you find us?	Not sure Ticotimes AOL Yahoo Google Overture Lycos HotBot Alta Vista Excite Metacrawler Other engine Recommended Already knew Previous client
Service Information
Type of Car	----- Suv Compact Terios Manual or Similar Suv Premiun Auto Vitara XL7 or Similar List of cars
Additional Driver	Yes
Child restraint System	Yes
Roof racks	Yes
Under Age Insurance	Yes
Cell phone	- No Yes
GPS ?	- No Yes
PICK UP:	Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month - Jan Feb Mar April May June July Agoust Sept Oct Nov Dec Year - 2009 2010 2011 2012 Hour -- 00:00 00:30 01:00 01:30 02:00 02:30 03:00 03:30 04:00 04:30 05:00 05:30 06:00 06:30 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 -- AM PM
DROP OFF:	Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month - Jan Feb Mar April May June July Agoust Sept Oct Nov Dec Year - 2009 2010 2011 2012 Hour -- 00:00 00:30 01:00 01:30 02:00 02:30 03:00 03:30 04:00 04:30 05:00 05:30 06:00 06:30 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 -- AM PM
Pickup Location	- San Jose Airport Pavas Airport Liberia Airport San Jose Location Guapiles City Arenal City My Hotel Other Place Not Secure to be advise
Dropoff Location	- San Jose Airport Pavas Airport Liberia Airport San Jose Location Guapiles City Arenal City My Hotel Other Place Not Secure to be advise See Drop off Fee
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* Type Credit Card	- VISA MASTERCARD AMERICAN EXPRESS Diners Club Other
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* Expiration Date	Month - 01 02 03 04 05 06 07 08 09 10 11 12 Year - 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
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Additional Comments	-

Phones in Costa Rica: (506) 88 61 10 43 / (506) 83 55 11 09 (506) 2430 98 01 Fax: (506) 2441 6801 E-mail: info@miragecarrental.com