You should receive a confirmation email when this form is properly submitted.

 

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We require a credit card deposit to confirm your Reservation.  Please fill in your information on our secure form below.

We require the following info:

1.  Name of cardholder (as it appears on the card)
2.  Credit card number
3.  Exp. date
4.  Billing address (including zip-code)
5.  Telephone number
6.  Fax number (if available)

Once we receive the above information we will email/fax your Credit Card Authorization Form.  When we receive the signed form, then we will charge your credit card and email/fax your Reservation Confirmation.  If fax is not available, we will email as an attachment.

 

Fields marked with an * are required



secure-website Security-Seal

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