I (name &
address)..
..
..
Hereby authorise Mr M.R. Kruger to take payment of
£
..
.. From my credit card
Number:
.
Security Code (last
3 digits on the signature strip)
.
Expiry:
for deposit/payment of
Booking for rental of Glenbrook Villa at the Glenbrook
Resort for the dates:
From:
..
To:
..
I understand that this payment will show up as In Car Electrics on my credit card
statement.
No refunds will be given on any cancellation of
bookings if cancellation is made within 6 weeks of rental start date.
Name:
..
Signature:
...
Date:
