Name City State Country Email Phone Please contact me by Select E- Mail Phone Have you been to Costa Rica before Yes / No Do you need hospital facilities close by Yes / No Do you need high speed internet Yes / No You're interest is in Select Land only Land and structure Investment land B&B or similar Other (see comments) --- Geographic Preference Select San Jose Area Northern Pacific Coast Southern Pacific Coast Central Pacific Coast Southern Atlantic Coast Northern Atlantic Coast Arenal Area Nicoya Peninsula Osa Peninsula Other (specify in comments box) I prefer this type Select Walk to beach Ocean view Beach front Other (specify) Type of property Select Gated community Land only Something constucted Condo Other (see comments) How many months will you spend in Costa Rica annually? Select 1 2 3 4 5 6 8 9 10 11 12 I want to purchase in Select immediately 1 month 2 months see comments --- My level of interest is Select very high high medium low just_looking My budget is Select $50,000 $75,000 $100,000 $150,000 $180,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $450,000 $500,000 $600,000 $700,000 $800,000 $900,000 $1,000,000 see comments --- Financing Select $40% down 50% down Cash Other(use comments box) My arrival date is Month January February March April May June July August September October November December 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 Year 2008 2009 Do you need mortgage information relative to foreign purchasers Yes / No METHOD OF VIEWING PROPERTIES I want you to set up the some time so I may see all properties that fit my criteria and prepare an agenda Please recommend Hotels and Tours that would be of interest to me Note: Those seeking property in the southern zone must be aware of how quickly the property is selling and therefore if our associates advise you to act if you like something, please do not construe this as pressure. ORIENTATION I would like to take advantage of the one on one orientation meeting when I arrive. I am not in a position to buy this trip. Please propose an agenda to orient me, an outline of what I will be seeing along with the cost of the tour. COMMENT BOX FOR MORE DETAILS: