Credit Card Form	Agent:
I (cardholder's name) authorize La Sirena Hotel to charge $ on the following credit card. Circle one - MASTER CARD   or   VISA
Card #: Exp. Date: / /
Daytime #: Cell Phone #: E-mail:
Have you stayed with us before? yes no //  If not, how did you hear about us? Where can I mail out your trip info?

TERMS AND CONDITIONS- please read carefully -  Due to limited availability, there are absolutely NO REFUNDS for unused services for any reason. Any changes or cancellations in hotel reservations incur a supplier penalty.
** We highly recommend trip Travel Insurance.

CANCELLATIONS MUST BE RECEIVED IN WRITING and will incur the following penalties:
If received less than 30days prior to departure, NO REFUNDS. If received 30 days or more $100 plus any supplier penalties.

La Sirena Hotel and its associates are acting as agents in selling travel related services or in accepting reservations for services (such as air and ground transportation, hotel, meals tours etc). La Sirena Hotel therefore is not responsible for any intentional or careless acts or omissions on part of such suppliers, which result is any loss, damage, delay or injury to cardholder, or those travelers paid for by cardholder. Unless the word “guaranteed” is specifically stated in writing on tickets, invoices or itinerary, La Sirena Hotel does not guarantee supplier’s rates, bookings, reservations, availability or handling of personal effects. La Sirena Hotel cannot be held responsible for any injuries, damages or losses caused to any traveler in connection with terrorist activities, local laws, climactic actions, mechanical failures, or any other actions outside of La Sirena Hotel's control. All travelers are responsible for checking and verifying all passports, visa, vaccination or any other entry requirement of each destination. By embarking, the traveler voluntarily assumes all risks involved in such travel, whether expected or unexpected. By signing below the cardholder consents to the above conditions and on behalf of all fellow travelers agrees to convey the contents of this agreement to all other travelers named above.

I have read and accept the conditions of the reservations and I agree to pay the amount here authorized, even though I have not signed the original charge note or voucher. I agree to pay this amount in case of “No Show”. I understand that in case of cancellation, I am responsible for all penalties charged by individual suppliers.

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Credit Card Holder's Signature:_______________________