EmailMe Form - Credit / Debit Card Authorization Form

Credit Card Authorization Form
This form is an easy and secure way to authorize and provide your credit card information for your upcoming reservation. Rest assured that our process adheres strictly to PCI protocols, ensuring the utmost security for your sensitive data.

By filling out the attached form, you'll enable us to temporarily store your information, facilitating the seamless processing of your reservation payment. This step not only guarantees your booking but also ensures a smooth and hassle-free experience during your stay with us.

Please don't hesitate to reach out if you have any questions or require further assistance. We're here to help!

This form collects data according to PCI DSS. All information will remain confidential.
Name *
First Last
To facilitate the processing of your reservation, please include, if applicable, the reference number of your proforma invoice. Example: GX-EN-XX
In addition to the invoice proforma reference number provided earlier, if you have any additional references or specific instructions related to your reservation, we encourage you to share them with us.
This could include any relevant details that would facilitate locating your reservation swiftly within our system.
Email *
You will receive an email with a confirmation for each payment made.

Confirm Email

	Selected Option
Authorization to deduct 30% of the total payment
Authorization for the deduction of the total payment
Authorization for a different amount (please specify the desired amount below)

Please specify the desired amount
Name (as it appears on card) *
First Last
Card Number

This form is designed to collect your credit card information securely, adhering to the standards set by the Payment Card Industry Data Security Standard (PCI DSS). Rest assured that all the information you provide will be treated with the utmost confidentiality and used solely for the purpose of processing your payment.

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
PAYMENT AUTHORIZATION *
I hereby authorize Grup Xaluca to charge my credit card as detailed on this form.
CANCELLATION POLICY *
I acknowledge and accept the cancellation policy.
Cancellations must be made at least 48 hours prior to the scheduled arrival date to avoid charges. Late cancellations or no-shows will incur a charge equivalent to the cost of the first night's stay.
Signature *
Clear
Use your mouse to sign the form. Your signature constitutes your acceptance of the Terms and Conditions and the Fees outlined in this form