Vacation Rental Third-Party Payment Consent Form
Rental Property & Reservation Information
Property Name/Address
Reservation Number
Check-In Date
Check-Out Date
Primary Guest Name
Third-Party Payer Information
Name
Relationship to Guest
Phone Number
Email Address
Payment Information
Amount to be Paid
Payment Method
Cardholder Name (if applicable)
Last 4 Digits of Account/Card
Consent & Authorization
By signing below, I, the undersigned third-party, authorize the above payment for the specified reservation and agree to be bound by the property's rental terms and policies.
Third-Party Payer Signature
Date
Primary Guest Signature
Date