CREDIT CARD AUTHORIZATION
(full name as it appears on the credit card)
Hereby authorize Jada1 Pty. Ltd. to debit my credit card up to the value of $1,000 in the case there is any loss or damage sustained to the apartment
□ Unit _____ / 22 Central Ave, Manly, 2095, NSW□ Unit _____ / 48 Sydney Rd, Manly, 2095, NSW
□ Unit _____ / Alexander St, Collaroy, 2097, NSW
and/or its contents as a result of any
incidents occasioned by myself, or those
occupying the apartment with me during the dates:
Check in on __________ 2015, check out __________ 2015.
Credit card type: □ VISA, □ Mastercard
Expiration MM/YY _____/________
Card Verification Number _____________
Please enter the Billing address listed on the credit card:
I certify I am the bank authorized signer/cardholder for the above credit card and agree to the conditions described above.