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Credit Card Authorization form

Name on the Credit Card*

Email*

Phone*

Credit Card #*

Expiration Date*

3 or 4 Digit CVV2 Number *

Do you want this to be ONE TIME CHARGE or RECURRING CHARGES? *

Please tell us the name of the guest this credit card authorization is for?*

Your Signature (Full Name and 4 Digit Social)*

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Bungalows Credit Card Authorization Form

Want to do it old fashion way?

Please Print, Complete, Sign and Email it back to the email address on this form.

The Bungalows Hotel & Event Center

1000 S Bell Blvd. - Cedar Park, TX 78613