www.floridavillasunsetridge.com

Credit Card Authorization Form

Name : _____________________________________________________________

Billing Address : _____________________________________________________

___________________________________________________________________

___________________________________________________________________

Post Code / Zip Code : ________________________________________________

Card Type :
Visa
Mastercard
AMEX
Discover

Please Tick One :

Card Number : ____________________________________________

Expiration Date :  __ __ / __ __ / __ __

Licence/ Passport Number : __________________________________

CVC Code :  ____   ____   ____

I agree to pay for any damages to the above rental property during our vacation at the above Villa. The amount due will be by mutual agreement and I will pay the agreed total amount according to the terms of the card issuer agreement.  I understand that attempting to defraud any rental property as defined under Florida Statute 509 with a Hotel/Motel License is a criminal offence.  Obtaining or attempting to obtain lodging without paying will result in criminal charges being filed with the State Attorney’s Office, and appropriate action being taken by the FDLE.

*If paying by credit card, a photo copy of the front and back of the card

and your driver’s license or passport is required.

A 3% admin fee on all domestic credit card transactions will be added.  The fee for international cards is 5%.

 

 

Signature : _______________________________________________

 


Date ( DD/MM/YY) : _______________________

If you should need to reprint this form go to www.floridavillasunsetridge.com/authorizationform.htm
Once complete please post to:
Martin Knight
Orchard Cottage
Newland
Drax
Near Selby
United Kingdom
YO8 8PS
Please note this form will be shredded if no damages are reported after the managers report