PLEASE FILL OUT FOR EACH RENTER
Note:
The Renter will see the charge from NY Entertainment Connection Inc.
on the Credit card statement. If renter pays by check or cashiers check, it must be
received at least 2 weeks ahead of time and within 4 days to hold dates.
( Circle one below)
AMOUNT:_______________________ Paying by CC CHECK CASHIERS CK
DATES STAYING: ____________________to______________________
NAME:______________________________________________________
CREDIT CARD ADDRESS : (Put full address including street number and zip code)
_________________________________________________________
_________________________________________________________
HOME ADDRESS if different from Credit Card Address:
__________________________________________________________
__________________________________________________________
CARD TYPE: _____________________________________________
(Master Card or Visa Only)
CARD NUMBER __________________________________________
EXP DATE ________________________________________________
Home phone: ______________________________________________
Cell phone: _______________________________________________
RENTAL DATES COST DETAILS:
_____________________________Through ______________________________
Price per night_________________X ___________nights =_________________
Plus Transient Tax 7.25% + _________________
Plus excise tax 4% + ________________
Plus Cleaning Fee + _________________
TOTAL DUE: ______________________
Input date: ________________________________
Approval code: ____________________________
Date settled: ______________________________
Batch # __________________________________
Batch approval code: _______________________