Credit Card Security Deposit Authorization Form Credit Card Security Deposit Authorization Form Name On Reservation First Last Phone(Required)Email(Required) Date of Arrival(Required) MM slash DD slash YYYY Site Number(Required) By submitting this form you authorize Malouf’s Mountain Campground to process the credit card for full payment against damages and/or unpaid invoices or unpaid cash payment for services rendered during your stay or your guests stay at our Campground. No credit card debt will occur if no costs are incurred. Credit Card InformationAccount typeVisaMastercardCardholder name (as printed on card)(Required) Credit card number(Required) Expiration date(Required) CVV (3 digits on card back)(Required) Billing InformationCardholder name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Consent(Required) I hereby authorize Malouf’s Mountain Campground to process the above credit card for full payment against any damages and/or unpaid invoices or unpaid cash payment for any services that occurred while renting camping site(s) at Malouf’s Mountain Campground.I certify that I am the authorized user for the above credit card and that I will not dispute the payment with my credit card company, so long as the charges directly relate to the services rendered , or damages during my stay, or my guests stay.Signature(Required) Reset signature Signature locked. Reset to sign again
