SHELBORNE, SOUTH BEACH

ALDEN SUITES, MIAMI BEACH
CREDIT CARD PAYMENTS

IMPORTANT NOTICE: Your payment will NOT be processed if you don't fax us the Credit Card Authorization Form (next page) and a photocopy of your Picture ID and credit card used to pay (front and back). Print the Form, fill and sign it and fax it to us.
Card Type:
Name as in Card

Card Number:
Expiration Date:
Security Number:
Billing Address: Street
Suite, Apt., etc.
City, Zip: City
State, Zip: State       Zip
Transaction Amount: $
 
Transaction Code:
Your Phone Number:
Your Email: