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Name:  
Email:  
Apartment Number:  
Booking Number:  
Dates From - To:  
Type of Card:  

VisaMastercardAmex

Card Number:  
Expiry Date:  
Card Verification No:  
Name on Card:  
Webpay

I confirm that this information is true and correct & I authorise
the debit of my credit/debit card for the amount stated above.
I understand that a non-refundable card convenience fee of
1.76% (incl. GST) applies to all transactions.

I am aware that any future queries about this transaction

must be raised directly with this Real Estate Agent office.
Note: This transaction will appear on your credit card

statement as “REAL ESTATE PAYMENT-RR , AUSTRALIA ”.

I agree to the the Rental Terms and Conditions*

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Manly Manly Shores Holiday Apartments ensures your private details are protected by Geo Trust Layer 128 bit encryption. This is an encrypted link between your web browser and our server (see the padlock icon now showing in your browser window) and once the link is established all communication between your web browser and our server will remain confidential.

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