CREDIT CARD AUTHORIZATION FORM - Vivara Bali Private Pool Villas & Spa Retreat

Credit Cardholder Name: *

Credit Card Number *

Expiration (Month/Year): *

mm/yy

Card Type: *

Terms of Service *

I understand that my credit card above is used to pay my reservation in Vivara Private Pool Villas Jimbaran with same booking details as mentioned in email between me and the Property. The credit card is under my name and I agree with all terms and conditions in Vivara Private Pool Villas Jimbaran, especially the cancellation policy.