Card Payment Declaration I, Client's full name hereby declare that, on the Date authorized and confirmed my payment to the value of £ Amount paid with the client’s credit card to Holiday Home Apartments. - My credit card ending with numbers —Please choose an option—0123456789 —Please choose an option—0123456789 —Please choose an option—0123456789 —Please choose an option—0123456789 (The last 4 digits) expiring on —Please choose an option—010203040506070809101112 / —Please choose an option—2223242526272829303132333435 has been debited to pay for the reservation at The Brum HomeThe Chinatown Home From Until With this form I confirm that the payment is in good order and I am receiving the service as previously agreed. I agree that I shall only use chargebacks as a last resort and only if with Holiday Home Apartments we have failed to achieve an alternative and mutually acceptable solution to my dispute. ID document Driving LicencePassportResident PermitOther Upload ID If for some reason you cannot upload your ID document, a copy must be sent via SMS, MMS, Email or WhatsApp Upload Card picture showing only the last 4 digits and the card holder name matching name on the ID PLEASE COVER THE CARD FIRST 12 NUMBERS FOR SAFETY REASONS After you click "Send" please make sure you see the "It has been sent" message in this screen All your data are protected by the data protection law and you can check our Privacy Policy here before accepting