N. 38470 US HWY 101
Lilliwaup,WA. 98555
(360)877-5324
fAX (360)877-0769
www.mikesbeachresort.com
reservations@mikesbeachresort.com

Mikes Beach Resort

Credit Card Charge Authorization.

Date:___________

I,________________________________, hereby authorize payment on my____________________ (card type) card,

#:_________________________ _______(full credit card number)   expiration:__________________ (date on card)

in the amount of _________________________ (dollar amount) for accommodation at mikes beach resort.

I am also authorizing mike's beach resort to charge the full cost of my accommodation if I do not cancel my reservation at least 2 weeks (in winter),

4 weeks (in summer) before day of arrival, or I do not show up, EVEN in the event of weather or family calamities.

 (room # of accommodation reserved) ________________        (Full rate of room) $________________   

deposit amount to be charged(50% of full reservation) $________________________

Balance to be paid in full upon arrival.

(date of arrival) _________________           (date of departure)_________________

____________________________ (your signature)   _____________ (date)

ALL CANCELLATIONS MUST BE SENT IN WRITING BY FAX OR EMAIL.