All Seasons Lodge Overgaard AZ - Rim Country Wedding Venue - White Mountains Lodge Rental - Show Low - Payson Hunting Rental, Rim Country Wedding Venue

SECURITY DEPOSIT - LODGE

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The information you provide on this form will be used by us to contact you regarding your reservation and security deposit.
This information will not be sold or shared to any third party.
All information provided below will be transmitted via secure server.

I,* have supplied my credit card details in good faith to be held as for security/damage deposit in the amount of $500.00. The security deposit is a "hold" on funds only, this "hold" should not appear on your credit card. If damage occurs or excessive cleaning is required, I hereby authorize All Seasons Lodge LLC, 2684 Lodge Loop – Overgaard AZ 85933, to charge my credit card.

If your credit card needs to be charged for damage or excessive cleaning, All Seasons Lodge LLC will contact you to inform of the charges .

If for any reason damage incurred to the property is more than $500.00, All Seasons Lodge LLC and/or the owner of the property have the right to negotiate with the client regarding actual damage repair or replacement costs.

Thank you.

*Name on credit card:
*Type of credit card:
*Card Number	numeric only - no dashes
*Expiration Date:	month year
*Card Validation ID:	(3 or 4 digit security code) on back of card
*Billing Address:
Billing Address Line 2
*City:
*State:
*Zip:
*Email Address:
By clicking the "submit" button you authorize All Seasons Lodge to hold the security deposit and agree to all terms of the Security Deposit Agreement.
Type the above number:

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