Keysboat Payment Slip
Fax to: 1-(305) 745-9004

My method of payment is:

  

Debit 

 

Credit

 

Dollar Amt $:

 

________________
Master Card
  VISA
  AMEX
  Discover
  Exp Date: Month       Year    


Please print or type your credit card number here:
 

       

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CVV Number
     
   
Name:   Phone:  
Address:  
City:   State:     Zip Code:  
I have read and approve of the rental agreement:    
 check here

 

Authorized Signature:     Date:  
 


 

If you cancel your rental during the last 30 days prior to your reservation, we will deduct a $50 cancellation fee from your deposit.


Simply print this page and fill in the form, then fax it to the number above, or scan the completed copy and save as a jpeg and attach to email: rentals@keysboat.com