Thanks for the opportunity to be your hospitality partner, this form is provided as a convenience to our guest and the information is transferred via a secured layer. If you prefer to fax this information you may download our fillable credit authorization form here then fax it back to us. 

FAX Number: 1-573-693-9381

USING THIS FORM

All boxes must be filled in completely to be considered. If you have any questions or concerns please call us at 1-573-693-9371.

SECURITY

This for is form is transmitted via 128 bit encryption which is consider the most secure method used.  Once you information has been entered into our reservation we will delete this record from our database. No information provided here will be used for any reason except the intended purpose. 

 

Account Info

Always ensure the site begins using https:// before entering any secured information,

questions call us at 573-693-9371.

Once we receive your information it is entered into our secured reservation system and the credit card numbers will be deleted from our records. Once entered our staff will only be able to see the last four digits of your card and cannot be retrieved any staff member to insure your security. In the case of reoccurring charges a physical copy will remain in safe keeping as long as required then destroyed.  

 

Signature

Days Inn & Suites. 4755 Osage Beach Parkway. Osage Beach, MO 65065
Phone# 573-693-9371  -  Fax# 573-693-9381

By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for the slected transactions only, and does not provide authorization for any additional unrelated debits or credits to your account.

l authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for selected charges only. I certify that I am an authorized user of this credit card and that l will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.

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