RYC Charter Invoice

First Name*
Last Name*
Email Address*
Invoice Number(s)*
Payment Amount*
Credit Card Fee*
Service Address*
Zip Code*
Payment Method*
Credit Card Number*
Expiration Date (MM/YY)*
Security Code*
Credit Card Charge Authorization

By your electronic signature of the form, you authorize charges to your credit card through via Residence Yacht Club for services rendered. These charges will appear on your bank/credit card statement as Residence Yacht Club. You have the right to request a paper copy of this document.

I understand that this authorization will remain in effect until it is canceled in writing and properly disputed, I agree to notify the Residence Yacht Club in writing of any changes in my account information or termination of this authorization.

I certify, that I am an authorized user of this credit card and will not dispute these scheduled transactions with my bank or credit card company as long as the transactions correspond to the terms indicated in this authorization form. I acknowledge that credit card transactions could be linked to sensitive booking reservations which could potentially not be rescheduled.