Credit Card Authorization Form
for the Giant Oaks Lodge
Today’s Date: ___________
My Name is ________________________________________________________________________
Address __________________________________________ Zip Code ____________
and I authorize the Giant Oaks Lodge to charge my credit card ending in the
last 4 digits of _______ for a _____ night reservation starting on the
date of ____________ in lodge # ______ based on room occupancy of ____
at a nightly rate of _______ for an amount including tax (7% ) for a total of __________
By checking the lines below indicates you have read and agree to the following policies
___ The above charge authorization will apply to any extended stay charges or damages to room or lodge.
___ All Giant Oaks Lodges are NON-SMOKING and are subject to a $ 175.00 damage fee/charge for smoking in any of the buildings.
___ All cancellations are subject to a $ 35.00 charge. If cancellation notice is less than 14 days prior to arrival,
30 days prior to an extended stay (week or more) or holidays, your card will be fully charged for your reserved dates.
Please enter your name and best contact number below.
Type Signature: ______________________
Contact Phone # ___ ___-____
Thank you for choosing the Giant Oaks Lodge in Running Springs.
Phone 800 786-1689 Fax 909 867-5532 Email - firstname.lastname@example.org