Port Stephens Accommodation
Accommodation
Visitor Information
Guest information
Contact details

PORT STEPHENS ESCAPES Guest registration / SECURITY DEPOSIT AUTHORISATION FORM

This Agreement is between:

BOOKING/GUEST NAME:

PROPERTY:

NUMBER OF GUESTS:

ARRIVAL DATE – Check in 2pm:

DEPARTURE DATE – Check out 10am:

Guest/s Collecting Keys:_________________________ Sets Given:_____________

Guest Address:_____________________________________________________

Contact No’s:_______________________________________________________

Guest Drivers License No.________________ Vehicle Registration:______________


And : Port Stephens Escapes – as Agent for the owner of the property

I agree to my Credit Card Details / Cash / Direct Deposit funds  to be held by Port Stephens Escapes as a Security Deposit and authorise the use of the above Credit Card / Cash / Direct Deposit for the charging of additional fees (if applicable) for:

 After hours service/lock out call fee for keys (up to 11pm) of $100.00
 Replacement of lost keys/remote controls, at cost
 Additional cleaning fee of up to $100 for properties left unclean or which require excess garbage removal (refer Clause 23 of our Terms & Conditions)
 Damages at cost to the property and/or common property
 $25 cleaning fee for unclean BBQ’s
 Telephone charges (if applicable) at cost
 Late departure fee (check-out is 10am) – If the cleaner is made waiting to clean for an incoming guest, then half a days rent shall be charged
 Any other incidental charges that may be incurred as per Port Stephens Escapes Terms & Conditions

I AGREE TO ACCEPT AND ABIDE BY THE BOOKING TERMS & CONDITIONS and THE NO PARTY & NO EXCESSIVE NOISE POLICY.

A full list of Terms & Conditions are given with this form and are available from our office and on line at www.portstephensescapes.com.au


Signature____________________________________ Date__________________

Credit Card Details: M’Card Visa Sec ID #________________

Card Number _______________________________Expiry Date_______________

Name on Card_______________________________________________________