Charge a Credit Card Payment Form Office payment form for guest bookings Submitted by:*just in case there's a question about the form Mary Lisa Margaret Scarlet Tom ROOM NUMBER(s)*Room number - did you double check availability online? https://booking.vermilionparkinn.comCheck-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* any additional chargesYou can add money collected for classes, events, etc. Not for a room charge. Explain Additional ChargeSo we know what the additional charge is for - is it for a rollaway bed, extra meals, party room, etc?SubtotalTotal $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 American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name NOTESenter any notes that you would like to remember or shareCAPTCHA