Your Credit Card will be billed by:
   
Integrated Resource Group.
    Phone
239.398.7550         

If you are paying SECURITY - YOU MUST us a SEPARATE FORM for the SECURITY and then another, separate, FORM for the RENTAL BALANCE - As we track these payment differently to ensure a PROMPT credit of your SECURITY.

Warning:  The CHARGE must be placed by the same person whose name the Rental Agreement is under as the two documents are linked to each other.

FAX to 212.419.2340

Credit Card Authorization Form

I, , (having also signed the rental agreement)  hereby authorize Integrated Resource Group NA to charge my credit card account in the amount of $ USD   and by doing so, accept the Cancellation policy BELOW with regard to my Vacation Rental of (property name) based on CONFIRMATION NUMBER

CANCELLATIONS: Cancellations must be made in writing at least Ninety (90) days prior to the scheduled arrival date. ANY Cancellation ON or MORE THAN 90 days PRIOR to the STAY DATE will result in forfeiture of ALL advance payment unless the house can be re-rented. If FULLY re-rented for SAME amount all money will be returned within thirty (30) days of the new booking date. If a 90 day advance cancellation results in only a partial re-renting, then the canceling party (tenant) agrees to absorb the cost of the un-rented period as a result of their cancellation.  Further, the tenant gives the owner sole discretion to discount the property to re-rent it and the tenant agrees to bare the FULL cost of any such discounting.   Any cancellation under 90 days in advance, will result in COMPLETE forfeiture of any payment made by the tenant with NO recourse by the tenant.    

GENERAL:  By signing, you agree you have read the rental agreement, agree to it and are compliant with ALL of its clauses.   The Rental Agreement must be returned with or prior to this authorization form.

  VISA

MasterCard

 

Credit Card Number: 

Expiration Date:            /            VID Code:   (3 DIGIT CODE ON BACK OF CARD)

Credit Card Billing Address:

Street:                        
                                    
City:                            
    State: 
Zip Code:                    -

Country: (if not US)  

Telephone:                 () -

 

As the credit card holder, I hereby authorize Integrated Resource Group NA to charge against my credit card.

__________________________________

____/____/______

Cardholder's Signature

Date

 

       

Please Print This Form - FAX to 212.419.2340

 

     

 


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