Payment Form Payment Form Office payment form for guest bookings Submitted by:*just in case there's a question about the form Mary Lisa Ryan Linda Scarlet ROOM NUMBER*Room number - did you double check availability?Check-in Date*choose the date guest is checking in Date Format: MM slash DD slash YYYY Check-out Date*Choose the date the guest is checking out Date Format: MM slash DD slash YYYY Guest Name* First Last EmailPlease try to get - this is for payment receipt to guest Phonehelpful if you need to contact the guestRoom Total Charge*This is the total price you are charging WITHOUT tax. Tax will be calculated for you. any additional chargesYou can add money collected for classes, events, etc. Not for a room charge - no tax is charged for this Explain Additional Charge (Tax Free)So we know what the additional charge is for - this is a tax free boxSubtotal $0.00 Taxapplied on room totals only $0.00 Total $0.00 Payment Method*You can quickly process their credit card here by selecting Stripe. You must enter the card holder's name. Stripe also requires an email address - it can be yours, if need be.Credit cardCredit card machine in officeCheckCashNOT PAID - collect at check-inCredit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name NOTESenter any notes that you would like to remember or share This iframe contains the logic required to handle Ajax powered Gravity Forms.