Ocean Suites Motel CC Authorization Form

Javascript is disabled

Javascript is disabled on your browser. Please enable it in order to use this form.

Ocean Suites CC Auth Form

Company Name*

Your company name here

Name on card*

Name as it appears on credit card

Your Address*

Address line one

Address line two

Postal Code

Phone

Your Email Address*

Your email Address

After hours phone number*

(to be used in the event of an issue with the guest or they do not show by 9pm)

Phone

Credit Card Number*

credit card number here

CCID*

security code back of card

Expiration Date*

00/00 format

Will you cover damages / policy violations?*

yes

The Following are authorized to make reservations: *

names in here - separated with commas

By typing my name here, I guarantee I am authorized to approve lodging expenses. I understand whether I cancel the reservation or shorten the stay, notification is due by noon the day before. Late cancellations and no shows will result in being charged for all nights and all rooms for which the cut off has passed *

type name here

Type of CC Authorization *

Signature Pad Title

Today's Date*

Your form has been submitted

Thank you %NAME% for taking the quiz/survey/feedback.
We have received your answers. You can view it anytime from this link below:
%TRACK_LINK%
We have also attached a copy of your submission.

Server Side Error

We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.

If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.

TextStatus: undefined
HTTP Error: undefined

Processing your request

Error

Some error has occured.