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CREDIT CARD AUTHORIZATION AND INCIDENTAL CHARGES CONSENT FORM

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CREDIT CARD NUMBER:

CARD EXPIRATION DATE:

CARD SECURITY CODE:

I, the undersigned, authorize The Lighthouse Retreat to charge my credit card for all room charges, food or drinks, spa treatments, island excursions, equipment rentals, and any other incidentals incurred during my stay. I acknowledge and agree that an additional 6% credit card processing fee will be applied to all charges.

I have read and I agree to Our Privacy Policy and Terms & Conditions www.thelighthouselci.com

By signing below, I confirm that I am the authorized cardholder and agree to the terms outlined above.

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