Contact Dominical Dot Biz

Select Properties

By Phone (011) 506-8-816-9444
By Email benvaughn@gmail.comClick to E-mail
By Mail: APDO 84-8000 / San Isidro de P.Z. Costa Rica
We look forward to hearing from you!


Your name *
Your contact e-mail *
How did you find us? Choose Yahoo AOL Google Ask Jeeves MSN Word of mouth Other
if other, please specfiy
If via the Internet, what keywords did you use?
Your contact phone # *
Have you visited Costa Rica before? YES NO
Are you planning to visit Costa Rica? Choose No, I'm not planning a trip yet I'm visiting in 1 month I'm visiting in 1-3 months I'm visiting in 3-6 months I'm already in Costa Rica
How soon do you plan to purchase/rent property in Costa Rica? Just browsing 6 months-1 year 2-4 months 1-2 months immediately
Select all that apply Ocean View Waterfall Valley View Reforestation
What type of property are you interested in? *    
Select One Lots for sale Commercial property House Condominium Development Land Other
What is your price range? Choose under $70,000 $70,000-$150,000 $150,000-$250,000 $250,000-$400,000 $400,000-$600,000 $600,000-$1,000,000 $1,000,000 and up
Use this area for informative comments about how we might be of service for you. <H3>Contact Dominical Dot Biz</h3><B>Select Properties</b> <P>By Phone (011) 506-8-816-9444<BR>By Email benvaughn@gmail.com<A href="mailto:benvaughn@gmail.com">Click to E-mail</a><BR> By Mail: APDO 84-8000 / San Isidro de P.Z. Costa Rica<br />We look forward to hearing from you!</p><BR> <div align="left"> <form name="Interno"action="/cgi-sys/formmail.pl" method="POST"> <input type="hidden" name="required" value="realname, email, phone,property_type"> <input type="hidden" name="subject" value="Dominical.biz Real Estate Info Request"> <input type="hidden" name="recipient" value="ben@hotcostaricarealestate.com"> <input type="hidden" name="redirect" value="http://www.hotcostaricarealestate.com/index.php?action=page_display&PageID=50"> <input type="hidden" name="missing_fields_redirect" value="http://www.hotcostaricarealestate.com/index.php?action=page_display&PageID=51"> <center> <table border="0" width="100%" cellpadding="2" cellspacing="3"> <tr> <td width="33%" class="bgliteyell">Your name *</td> <td width="296" colspan="4" class="bgliteyell"><input type="text" name="realname" size="45"> </td> </tr> <tr> <td width="33%" class="txtyell">Your contact e-mail *</td> <td width="296" colspan="4"><input type="text" name="email" size="44"> </td> </tr> <tr> <td width="33%" class="bgliteyell">How did you find us?</td> <td width="296" colspan="4" class="bgliteyell"><select name="how_found" size="1"> <option>Choose</option> <option value="Yahoo">Yahoo</option> <option value="AOL">AOL</option> <option value="Google">Google</option> <option value="Ask Jeeves">Ask Jeeves</option> <option value="MSN">MSN</option> <option value="Word of mouth">Word of mouth</option> <option value="Other">Other </option> </select> <br> if other, please specfiy <input type="text" name="if_other" size="30"> </td> </tr> <tr> <td width="33%" class="txtyell">If via the Internet, what keywords did you use?</td> <td width="296" colspan="4"><input type="text" name="keywords" size="45"> </td> </tr> <tr> <td width="33%" class="bgliteyell">Your contact phone # *</td> <td width="296" colspan="4" class="bgliteyell"><input type="text" name="phone" size="31"> </td> </tr> <tr> <td width="33%" class="txtyell">Have you visited Costa Rica before?</td> <td width="296" colspan="4" align="left"><input type="checkbox" name="Visited_CR" value="Yes"> YES <input type="checkbox" name="Visited_CR" value="No"> NO</td> </tr> <tr> <td width="33%" class="bgliteyell">Are you planning to visit Costa Rica?</td> <td width="296" colspan="4" class="bgliteyell"><select name="coming_to_CR" size="1"> <option>Choose</option> <option value="No_I'm_not_planning_a_trip_yet">No, I'm not planning a trip yet</option> <option value="I'm_visiting_in_1_month">I'm visiting in 1 month</option> <option value="I'm_visiting_in_1-3_months">I'm visiting in 1-3 months</option> <option value="I'm_visiting_in_3-6_months">I'm visiting in 3-6 months</option> <option value="I'm_already_in_Costa_Rica">I'm already in Costa Rica </option> </select> </td> </tr> <tr> <td width="33%" class="txtyell">How soon do you plan to purchase/rent property in Costa Rica?</td> <td width="296" colspan="4"><select name="purchase_soon" size="1"> <option value="Just browsing">Just browsing</option> <option value="6 months-1 year">6 months-1 year</option> <option value="2-4 months">2-4 months</option> <option value="1-2 months">1-2 months</option> <option value="immediately">immediately </option> </select> </td> </tr> <tr> <td width="33%" class="bgliteyell">Select all that apply </td> <td width="32" class="bgliteyell">Ocean View </td> <td width="35" class="bgliteyell">Waterfall</td> <td width="72" class="bgliteyell">Valley View</td> <td width="148" class="bgliteyell">Reforestation</td> </tr> <tr> <td width="33%" rowspan="2" class="bgliteyell">What type of property are you interested in? * </td> <td align="center" class="bgliteyell"><label> <input type="checkbox" name="oceanview" value=" oceanview"> </label></td> <td align="center" class="bgliteyell"><label> <input type="checkbox" name="waterfall" value="waterfall"> </label></td> <td align="center" class="bgliteyell"><input type="checkbox" name="valleyview" value="valleyview"></td> <td align="center" class="bgliteyell"><input type="checkbox" name="reforestation" value="reforestation"></td> </tr> <tr> <td colspan="4" align="center" class="bgliteyell"><select name="property_type" size="1"> <option value="">Select One</option> <option value="Lots for sale">Lots for sale</option> <option value="Commercial property">Commercial property</option> <option value="House">House</option> <option value="Condominium">Condominium</option> <option value="Development Land">Development Land</option> <option value="Other">Other</option> </select></td> </tr> <tr> <td width="33%" class="bgliteyell">What is your price range?</td> <td width="296" colspan="4" align="center" class="bgliteyell"><select name="pricerange" size="1"> <option>Choose</option> <option value="under $70,000">under $70,000</option> <option value="$70,000-$150,000">$70,000-$150,000</option> <option value="150,000-$250,000">$150,000-$250,000</option> <option value="$250,000-$400,000">$250,000-$400,000</option> <option value="$400,000-$600,000">$400,000-$600,000</option> <option value="$600,000-$1,000,000">$600,000-$1,000,000</option> <option value="$1,000,000 and up ">$1,000,000 and up </option> </select> </td> </tr> <tr> <td width="33%" valign="top" class="txtyell">Use this area for informative comments about how we might be of service for you. </td> <td width="296" colspan="4"><textarea rows="6" name="Message" cols="45"> <!-- <h3>Contact Seabreeze</h3><b>Select Properties</b> <p>By Email beajazz@aol.com<a href="mailto:beajazz@aol.com">&nbsp; Click to E-mail</a><br />By Mail: APDO 84-8000 / San Isidro de P.Z. Costa Rica<br />We look forward to hearing from you!</p><br /> <div align="left"> <p>&nbsp;</p></div>-->