Breckenridge Ski Homes & Ski Condos for Rent by Owner : Breckenridge Rentals by Owner

Breckenridge Ski Homes & Ski Condos for Rent by Owner
Breckenridge Rentals by Owner : Breckenridge Ski Resort : Breckenridge Colorado USA.

E-MAIL: BRECKBYOWNERS@YAHOO.COM

PHONE ANSWERED SEVEN DAYS 8:00 AM TO 10:00 PM.
970-368-4749

Fields are Mandatory *

I, (THE RENTOR)

authorize LMDM 1 LLC to charge my credit card;

Master Card

Visa Card

Amex

(check one)

in the amount $*

Name of Property you are Renting*

Name of home you are renting and property code*

Check In Date*

(mm/dd/yyyy)

Check Out Date*

(mm/dd/yyyy)

I am fully aware that the amount charged is non-refundable and I accept the sale and final with no refund.
Yes, I agree to terms.

Full Name*

(As it appears on the Credit Card)

Telephone numbers(Optional)

HOME #

CELL #

WORK #

Credit Card Information (All fields below are required)

Email Address:*

Name Exactly as it Appears on Credit Card:*

Exact Billing Address of Credit Card

Street:*

City:*

State/Province:*

Zip/Postal Code:*

Country:*

Type Of Credit Card:*

Master Card Visa Card Amex

Card Number:*

CVV Code:

(CVV code is the Security Code on the back of the Credit Card)

* Please enter card number without spaces.
TO INSURE SECURITY TO YOUR CREDIT CARD DATA -
DO NOT enter the last four numbers of the credit card.
E-mail the last four numbers to dmiddl5543@aol.com by separate e-mail.
Or call Dot at 832-434-1316
during business hours 8 am. to 4 pm. - CST.,
Monday - Friday.

Expiry Date:*

Payment Authorization Amount

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