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Phone Number           

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Email                           

Card Type                   Visa Master Card Discover American Express

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Expirations                  1 2 3 4 5 6 7 8 9 10 11 12    2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Payment Amount      
(dues amount plus any late fees that may be applicable )

I (we) agree to have our credit card charge for the amount due at Timber Lodge Resort.

Initials                        

Thank you for your payment.