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)

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