Third-Party Authorization

Please complete and submit this form electronically and include a scanned copy of a government-issued ID.

Guest Information

First Name

Last Name

Phone Number

Arrival Date

Departure Date

Reservation Confirmation Number

Total Room Charge

Charges to Apply

Credit Card Number

Expiration Date

CVV

Card Holder's Billing Address

Town / City

State

Zip Code

Driver's License or Passport

Third Party Information: Person Checking In

First Name

Last Name

Terms & Understanding

I authorize The White Sands (aka 1106 Ocean Ave) to apply the charges of the above-named guest to my credit card. I understand that submitting this form will constitute a binding agreement for full payment for the above-specified charges as well as any damages incurred to room accommodations by guest or guest’s acquaintances.

Third-Party Authorization

CONTACT

HOTEL

FOOD & BEVERAGE

GUEST FORMS

MONTHLY NEWSLETTER

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