Credit Card Billing Information Form

Step #2: Submit Your Deposit.

IMPORTANT: DO NOT SUBMIT ANY DEPOSITS WITHOUT
CONFIRMING DATE AVAILABILITY WITH AMBUSH!


* Denotes a Required Field
Event Date Authorization Code: *
What's This?

GENERAL INFORMATION

Name: *
Address:*
Address 2:
City: *
State: *
Zip: *
Phone Number: *
Email Address: *

PAYMENT INFORMATION

Credit Card Type: * Visa     MasterCard
First Name: *
Last Name: *
Billing Address:*
Billing City: *
Billing State: *
Billing Zip: *
Credit Card Number: *
Do not type anything between the #'s
Expiration Date: *
CVC Code: *
Three digit code on the back of card

Total Number of Players:   
Player Deposits
(i.e. $25 per player) TOTAL =
$
Gun Rentals:
(Gun rental must be pre paid)
(Other rental equipment: mask, covers, etc. may be rented game day)


IMPORTANT:
Due to the limited number of rental guns, call or e-mail to insure availability before submitting deposit!
Number of M-4, AK-47 Gun Rentals
(i.e. $20 per gun) TOTAL =
$
Amount to be Charged: *
(registration and rental)
$

IMPORTANT: PLEASE READ!

I have read this payment form carefully. I understand that giving my credit card number and signing below that I acknowledge and agree to all the terms and conditions set forth on this form. I agree to allow Ambush Paintball to charge my credit card the full amount as stated above.

All deposits are non-refundable, meaning that if you deposit for 15 players and only 14 players show up on game day, the no-show player(s) forfeit/lose their deposit(s). Forfeited or lost deposits cannot be applied towards purchases that day.

A minimum of 15 paid player spots is required. In the event that less than 15 players arrive on game day, your group will be responsible for the remaining package balance up to 15 players.

This agreement represents the entire understanding of the parties to the electronic filling of this reservation.

The signature of the card holder or its authorized agent affixed to this Agreement shall be deemed to appear on such electronically filed Agreement and subsequent documentation, as if so actually appearing.

I certify that I am 18 years of age or older, I agree to the terms and conditions of this purchase and have read this agreement form.



By submitting your reservation your card will be charged.
(Please do not submit multiple times.)

You will receive confirmation of your deposit/reservation via email.


Phone: (717) 989-4519 :: Email: info@ambush-paintball.com