Moon Palace Booking Payment

Number of Rooms*
Room 1*
Name of Main Guest of Room 1*
First Name Last Name
Email*
Cellphone*
Room 2*
Name of Main Guest of Room 2*
First Name Last Name
Room 3*
Name of Main Guest of Room 3*
First Name Last Name
Room 4*
Name of Main Guest of Room 4*
First Name Last Name
Room 5*
Name of Main Guest of Room 5*
First Name Last Name
Price for one room
Precio: $1,125.00
Price for two rooms
Precio: $1,125.00
Price for three rooms
Precio: $1,125.00
Price for four rooms
Precio: $1,125.00
Price for five rooms
Precio: $1,125.00
Total
$0.00
Total
$0.00
Total
$0.00
Total
$0.00
Total
$0.00
Credit Card*
El campo de la tarjeta de Stripe no puede funcionar cuando el método de recogida de pagos está configurado como formulario de pago de Stripe (Stripe Checkout).
Cardholder Address*
Street City State Zip Code
Consent*
I agree with the privacy policy and with terms and conditions. I accept that the booking is NON Refundable
Consent*
I agree that I will be charged to my credit card and I will not request a chargeback.

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