to secure no more than $________________to my credit card mentioned below, for the rental

of the vacation home known as 115 Meadow Drive in South Lake Tahoe, NV. 89449

on the dates from________________________ to _________________________.

Credit Cards Type: Visa, Mastercard,American Express,Discover, Bank, and Paypal
Credit Card Number_____________________________________
Expiration Date (Month / Year)_______________
CVV Code # ____________

Print name as it appears on card____________________________

Billing Address of Cardholder______________________________

                        _________________________________________

                        _________________________________________

Phone Number of Cardholder______________________________

Authorization/Signature of Cardholder_____________________________Date______________