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UNIRESORTCREDIT CARD AUTHORITY FORM

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					                                                                   UNIRESORTCREDIT CARD AUTHORITY FORM
                                                                                                TSPD Pty Ltd Receivers & Managers Appointed
                                                                                  80 Tyron Street, Upper Mount Gravatt Queensland 4122 Australia
                                                                                        Telephone: +61-7 3457 5588 Facsimile: +61-7 3457 5888
                                                                                                                          ABN 35 114 480 830


   FOR OFFICE USE ONLY
   NAME OF RESIDENT/GUEST: ___________________________________________________________________


                     IMPORTANT!
                     IF THIS IS A PERSONAL CREDIT CARD, THIS FAXED AUTHORISATION
            !        MUST BE ACCOMPANIED BY:
                     1. A COPY OF A PHOTO IDENTIFICATION (I.E. DRIVERS LICENCE)
                     2. A COPY OF BOTH SIDES OF THE CREDIT CARD

   I AUTHORISE UNIRESORT TO DEBIT MY CREDIT CARD, THE DETAILS ARE AS FOLLOWS:


   AMOUNT TO BE CHARGED:                        $__________________(1.95% surcharge will be charged)

   TYPE OF CARD:                       VISA                                     MASTERCARD                                      BANKCARD
                                       DINERS CARD                              AMERICAN EXPRESS

   CARD NUMBER:

   EXPIRY DATE:                             /

   NAME ON CARD: ____________________________________________________________________________

   CARDHOLDER SIGNATURE: _______________________________________ DATE: ______/_______/_______

   -----------------------------------------------------------------------------------------------------------------------------------------------------------

   DRIVERS LICENCE NO.: ___________________________________________ EXP DATE: _________________

   CARDHOLDER POSTAL ADDRESS: _____________________________________________________________

   SUBURB/CITY: ___________________________________________________ STATE: ____________________

   PHONE NUMBER: ________________________________________________ POSTCODE:

   FAX NUMBER: ___________________________________________________

   -----------------------------------------------------------------------------------------------------------------------------------------------------------
   NAME OF GUEST(S): _________________________________________________________________________
   (IF DIFFERENT FROM NAME ON CARD)

   AUTHORISED CHARGES:                                   ALL CHARGES (RENT, BOND, INCIDENTALS, ETC.)
                                                         RENT ONLY
                                                         RENT & BOND ONLY
                                                         RENT & INCIDENTALS ONLY
                                                         OTHER, PLEASE SPECIFY _____________________________________
                                                         Incidentals may include: broadband, telephone, utilities, cleaning and/or other charges.




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Description: UNIRESORTCREDIT CARD AUTHORITY FORM