Survey
All the information provided bellow will be kept strictly confidential.
Dr Name
*
Address
*
Phone
*
Fax
E_mail
The type of seminar you would like to have
Select
Captek
Cercon
Implants
Sculpture
Avante
Length of the Seminar?
Select
1/2 a Day
1 Day
2 Days
How long would you like to stay in Costa Rica?
Select
3 Nights
4 Nights
5 Nights
1 Week
How much, including hotel, would be fair for the type of seminar you selected?
Select
$250 - $350
$350 - $500
$500 - $750
Which activitiy would you be most interested in?
Select
Golf
Fishing
Nature Tours
Scuba Diving
What time of the Year would you prefer to visit Costa Rica?
(Dec - April is most expensive)
Select
Dec - April
April - June
June - Sept
Sept - Dec
How much time in advance do you need to plan your trip?
Select
2 Weeks
1 Month
2 Months
If you would like to travel with a guest please indicate which type.
Wife / Husband
Family
Employees
Friend's