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			<title><![CDATA[Reservations]]></title>
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<td class="titulos-noticias" colspan="2"><span class="titulos">Please fill in the following form Reservation and press the Submit button:</span></td></tr>
<tr>
<td class="titulos-noticias" colspan="2">
<div align="right">*Required Fields </div></td></tr>
<tr>
<td class="titulos-seguro" width="203">Name<span class="titulos">*</span></td>
<td width="287"><input id="textfield" name="realname"/> </td></tr>
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<td class="titulos-seguro">E-Mail<span class="titulos">*</span> </td>
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<td class="titulos-seguro">Passport number<span class="titulos">*</span></td>
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<td class="titulos-seguro">City</td>
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<td class="titulos-seguro">Country</td>
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<td class="titulos-seguro">Dates of trip</td>
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<td class="titulos-seguro">Hotel request</td>
<td><label><select id="hotel" name="hotel"> <option value="Central Valley" selected="selected">Central Valley</option> <option value="Central Pacific">Central Pacific</option> <option value="Northern Costa Rica">Northern Costa Rica</option> <option value="Guanacaste">Guanacaste</option> <option value="Caribbean">Caribbean</option> <option value="Panama">Panama</option></select> </label></td></tr>
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<td class="titulos-seguro">Hotel name</td>
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<td class="titulos-seguro">House Rental</td>
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<td class="titulos-seguro">Rent a car </td>
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<td class="titulos-seguro">In country Flights </td>
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<td class="titulos-seguro">Transportation services </td>
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<td class="titulos-seguro">Packages</td>
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			<author>no@spam.com (Brian Bombard)</author>
			<pubDate><![CDATA[Mon, 13 Oct 2008 13:30:00 CDT]]></pubDate>
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