VACATION RENTAL DEPOSIT FORM

To pay your deposit by fax, please complete this simple form.
This ensures that you are the authorized user of your credit card.
Just follow these 4 simple steps:

2. Complete the form.
3. Sign it.
4. Fax the completed signed form to: (858) 538-0222

Note: E-mail Returns are NOT Acceptable. This form must be faxed by the card holder.

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ACCOUNT INFORMATION

*Name as it appears on the Credit Card:  
*Billing Address  
*City:  
*State/Province and zip code/postal code:  
*Country:  
*Telephone number:  
*E-mail address:  
*Credit card type (Visa, Mastercard etc.):  
*Credit card number:  
*Expiry Date (MM/YY):  
Date:

Signature of card holder: _____________________________