Outpost At Warden Rock
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Secure Payment Form

 

Full Name
Business Name (if applicable)
Postal Address
Contact Number with Area Code
Email

 

I wish my payment to go to:

Deposit
Final Payment

 

Payment Amount

 

 

Visa Mastercard

 
Card Number
Expiry Month
Expiry Year
Security Code
Name on Card
Receipt Required Yes No

 

Comments

 

** All fields are essential and must be answered before submission
Deposit or Final Payment of our invoice through this secure payment form, indicates that you have reviewed and accepted our Terms and Conditions whether or not your signature was required for authorization. Your signature will be required on our copy of this secure payment form, credit card authorization form or invoice prior to our services being rendered (i.e. the commencement of your holiday). Additional information on our payment policies may be found on our website under Booking Information and/or Terms and Conditions.