Name of Individual:________________________________________________________
Please fax or email back this completed form. I authorize Beach & Bayside Vacations to process the following transaction on my personal/business credit card.

Type of Credit Card:________________________________________________________________

Name:(As it appears on credit card)____________________________________________________

Billing Address for credit card_________________________________ Zip____________________

Credit Card Number: _______________________________________________________________

Expiration Date:_______________________________ Vin Number:______ ____ ______

Athorized Charges:( Please Initial the specific Charges to the above noted Credit Card)

Initial ______ Rent and 10.5% room tax for ____________ guest(s) for _________ nights

Rent:__________+ Tax ____________= Total Amount ______________________

Initial ______ Security Deposit
( Card will be charged in the event of damage or long distance phone calls on local units)

Initial ______ $___________ (for special handling of reservations)

Initial ______ Other:_______________________________________________________________

I understand that this authorization Guarantees my Reservations. Cancellation of this reservation will result in the enforcement of our Cancellation Policy, Namely: More than 60 days prior to arrival $300.00. 60 to 30 days prior to arrival: $350. Full payment is non-refundable if reservations are canceled less than 30 days prior to arrival.

Signature: ________________________________________________ Date:_____________________

Thank you for doing business with Beach & Bayside Vacations. Please keep a copy of this authorization for your records.