Welcome To Lake Breeze Hotel

SECURE ORDER FORM

To process your reservation we will need ALL of the following information...

Personal details

Customer Name*	:
		Enter only your first name, same as the first name that appears on your credit card.
Billing Address*	:
		The address that you enter MUST be the same as the one that appears on your credit card statements.
City*	:
Country*	:
State/Province*	:
		Indicate state or province only if you live in the U.S. or Canada.
Zip/Postal Code*	:
Phone Number*	:
		Please include the area code of your telephone number
E-mail Address*

Credit Card Information and Authorization

Name on Card*

Credit Card Issuing Bank or Issuer Name*

Card Number*

Card ID No *

(Which appears at the back of your card )

Expiration Date*

"Press Submit Button Only Once"

CANCELLATION POLICY
1 day prior to arrival date to avoid penalty of 1-night room charges.