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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: |
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| *Billing Address |
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| *City: |
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| *State/Province and zip code/postal code:
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| *Country: |
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| *Telephone number: |
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| *E-mail address: |
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| *Credit card type (Visa, Mastercard etc.): |
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| *Credit card number: |
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| *Expiry Date (MM/YY): |
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Date:
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Signature of card holder: _____________________________
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