Credit Card Chargeback

CREDIT CARD CHARGEBACK

Company Name (if applicable) *

* Indicates required field

Guest Name *

First

Last

Check-in Date *

Check-out Date *

Mastercard - Visa - Amex *

Card number *

Exp date *

CVV *

Card Holder Name *

First

Last

Mobile Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Authorised charges *

Please send invoice to Email *

Please click here to view Adelaide Airport Motel Terms and Conditions.

Acknowledge Chargeback *

I hereby authorise the Adelaide Airport Motel to deduct payment for charges from my credit card relating to this reservation as per the above information. I understand that the Adelaide Airport Motel will place an authorisation on my card 48 hrs prior to arrival for the total of Room rate + $100. I also understand that where authorised, remaining charges will be processed upon the guest's departure. I understand that should the booking be cancelled with less than 48hrs notice (2pm two days prior to arrival) that the amount of the first night's accommodation is non-refundable.

Acknowledge Terms and Conditions *

I accept the Booking Terms & Conditions

CAPTCHA *

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