For best results: Set View Size to "Medium, Highlight Box and Print Selection.

CARDHOLDER AUTHORIZATION FORM

I, ________________________________ authorize Royal Bed and Breakfast,


to charge the amount of ______________________________(Canadian Dollars)


Re reservation Date: _________________________ for the following services:

(check one option below)
___________ 50% deposit to hold reservation (at time of booking reservation)

___________ Balance on account due (30 days prior to arrival date)

  to my:    
    _____Visa, ____Mastercard,
    _____Amex, ____Diners/Enroute.

 

 

 

Card #_________________________________ expiry date:________________

Cardholder Signature:_______________________________________________


Date:____________________________________________________________


I/we are aware of any cancellation policies as outlined at

http://www.pentictonbb.com/Reservations.htm

and agree not to dispute or attempt to Chargeback any of the above signed for

and acknowledged charges.


_______________
Cardholder initial