Checkout Page General Information Number of Adults: Number of Children: Contact Information First Name Last Name Phone Email Verify Email Address Line 1 Address Line 2 City: State: Zip: Billing Address Same as above Phone Email Address Line 1 Address Line 2 City: State: Zip: Payment Information Card Holder Name: Credit Card Number: Credit Card Type: ChooseVisaMastercardDiscoverAmerican Express Exp Month: ChooseJanFebMarAprMayJunJulAugSepOctNovDec Exp Year: Choose2016201720182019202020212022202320242025 30A Dream Rental Details: Check in: 9/10/2016 Check out: 9/16/2016 Cost Breakdown: Charges Amount Rental $2,080.00 Taxes $228.80 Total Cost $2,308.80 Deposit Due $2,308.80 I have read and agree to abide by the rental policies.