On the Beachblock Harbor Light Family Resort On the Beachblock Harbor Light Family Resort
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Authorization
This is an authorization form.
To make reservations please call 800-426-4564!

This form should only be completed after making a reservation with a harbor light staff member.  We are not set up for online reservations. 
     
 
First Name
*
 
Last Name
*
 
Address
*
 
Address 2
 
City
*
 
State
*
 
Zip
*
 
Phone
*
 
Email
*
 
Credit Card Security Code
(3 digits) *
 
Deposit Amount
*
 
Check In Date
*
 
Check Out Date
*
 
I have read and agreed to the Motel Policies and I give the Harbor Light Family Resort permission to charge my credit card for the deposit
*
 
I understand that misrepresentation of any information will void my reservation.
*
 

This form should only be completed after making a reservation with a harbor light staff member.  We are not set up for online reservations.