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By completing this online information form I agree and confirm that I am the indicated person above, all the information supplied is correct and the credit card supplied for the payment is legally mine. I agree to abide by the terms and conditions relating to the letting of this property and agree that my liability for any charges is not waived, I agree to be held personally liable in the event of the indicated person, company or association fails to pay for any part of the full amount of such charges. I agree that I am the card holder of the credit card supplied and am responsible for payment. By completing this form I confirm and authorise acceptability of charges and the terms and conditions relating to the letting of this property. We require in this form a copy of the front and back of your identification (drivers licence or passport) as proof of identity. Payments made by credit card will incur a 2.2% surcharge. I authorise maintenance/housekeeping and contractors access to the property is necessary during my stay.
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10/1 Kalimna Drive, Broadbeach Waters,
Queensland 4218 Australia

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