Option 1:      Please email the completed form to bluewatermotel@hotmail.com along with a copy of your Driver’s license & credit card.

                       Click here for the Printable Authorization form

Option 2:     Fill the form below - upload a copy of your Driver’s license/credit card and press send.

THIS FORM IS FOR AUTHORIZING THE BLUE WATER MOTEL FOR A NON-REFUNDABLE CHARGE ON YOUR CREDIT/DEBIT CARD FOR YOUR RESERVATION. A CONFIRMATION EMAIL WILL BE SENT TO YOU AFTER THE RESERVATION HAS BEEN PROCESSED.









Credit card information





Verification

CREDIT CARD AUTHORIZATION FORM

Reservation Confirmation Number: Arrival Date : Room & Tax: I hereby authorize the following charges to be applied to the following credit card. Check all that apply: Credit Card Billing Address: City / State / Zip / Country: Please email this completed form to: bluewatermotel@hotmail.com Credit Card Number:    Expiration Date:      CVV #:    Amount to be charged:  $ Cardholder Phone #: I hereby authorize Blue Water Motel to charge $ on my credit card listed above. Signature of Card Holder: