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Due to bank and credit card processing requirements, we are asked to have a signature on file for all credit transactions. Please print this page, complete the requested information and fax to 207-727-6669 or mail to P.O. Box 196, Hollis, ME 04042, USA.
Please provide your contact information:
Name:
 
Email:
 
Address Line 1:
 
Address Line 2:
 
City:
 
State/Prov:
 
Country:
 
Zip/Postal Code:
 
Phone Number:
 
Please provide your billing information:
Credit Card
 
 MASTER CARD
 
 VISA
Credit Card Number:
 
Printed Name:
(as it appears on credit card)
 
Expiration Date:
 
 MM  
 
 YY
Please indicate
what are you paying for:
 
   Beach House Rental
 
 Rental Items

cottage address____________________ rental date(s)_________

I agree to pay the amount of (US$):
 

 

  We will confirm the charge details by email after charging your card.
   
Signature


Refund Policy
Guest is financially responsible for the specific time they have reserved. Cancellations by April 30th will result in a 50% refund. After April 30th the guest forfeits their entire payment. Southern Maine Beach Rentals will attempt to rebook the date and if successful, will refund all monies minus a 25% cancellation fee on the total amount.
Any additional comments or questions:
 
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