I undersign Authorize to charge to my credit card account as a prepayment for special event reservation for room which I /we made over the telephone and on Internet. I have read all policy of Budget Inn and I agreed to abide by Motel policies. Following Information is belonging to me.

All charges do not include Extra persons,services or damages ,stolen or loss occurred to this property & motelrooms either by me or my party while staying. Which I authorize to charge on this credit card. I further agreed to not to dispute these charges since it is a final noncancellable Non Refundable reservation which I agreed. Any and All dispute occurred will be at Local county Jurisdiction where this motel located in NY state .

Sign:________________________________Dt:_____________________

Accepted Payment Methods: Cashier Check or Money order or Credit Card.
any extra charges will be applied to this card

If you are paying by Money order or Cashier Check on time as described below You will "NOT" required Followings
send Photo Ids handling or reservation fees if any.
However we may ask you at the time of checking to varify your identity

Name of Credit card Holder:

Debit card ,AMEX,DISCOVER #.......................................................................... Expire:

Home Address:

City:

State and Country.

Zip code

Home telephone

Business:

Fax Number:

Cell Number:

Email Address:

Driver License Number & state :

Type of Room/s Reserved:

Howmany:

Howmany person In a room:

Howmany In your Party:

Arrival Date:

Departure Date:

Date of Reservation Made:

Guaranteed Confirmation Number:

I have Read ,agreed and accepted all requirements & policies for this reservation.

Signature:______________________________ Date:_________

Above Information must be received Priore to Arrival Date and maximum within 2 days of Confirmation Made via Internet or Telephone.
We do Varify All Information You provide to Validate your Reservation.Do not submit Any falls or Fake Information which is not belong to you.