Credit Card Authorization Form

I, (name on form), hereby authorize Sea Rock Inn at 2900 E. Pacific Coast Highway, Long Beach CA 90804, to charge my credit card for my stay.


As the credit card holder, I hereby authorize Sea Rock Inn – Long Beach to charge my credit card for the above amount entered. I certify that all information is complete and accurate. There are no refunds or cancellations. I certify that I am the authorized signer of the credit card listed.
  • Photocopy of front and back side of the credit card.
  • Photocopy of a driver license or government-issued ID.