Safety Harbor Resort – New Account

Safety Harbor - NEW ACCOUNT

Complete the form to Create Your Beamworks Account

Please fill out this form if you are new to working with Beamworks @ Safety Harbor Resort or if you need to update your information with us. All information will be kept safe and secure and can be deleted at anytime per your request.

By filling out this form, you agree to have your payment information processed for the amount that was given on your estimate. If additional items or services are needed during the time of the event, you authorize this card to be used for the agreed overages.

Safety Harbor Event Form

Account Information

Organization or Person Name *

If not a business, just enter your name

Contact Person *

Contact's Direct Phone Number *

Office Phone

Email Address *

For invoices and quotes

Website Address

Event Details

Name of Event

When does your event start?

Date

Time

When does your event end?

Date

Time

Which Room is your event being held in? *

Day of Contact Person *

First

Last

Day of Contact Person Phone

Day of Contact Person Email *

Payment Section

Beamworks, Inc accepts payments in the form of Business Checks, ACH Payments and Credit Cards. Payments with credit cards on invoices over $1,000 will have a 3% convenience charge applied. A Credit Card will need to be added regardless of payment type. No charge will be run unless you request to pay via Credit Card.

How Would You Like To Pay? *

Credit Card
Business Check
ACH Payment

Physical / Billing *

Address Line 1

Address Line 2

City

State

Zip Code

Credit Card Number *

Visa, Mastercard, American Express

Expiration Date *

mm/dd/yyy

Security Code (CVV) *

Located on back of card.

Card Zip Code *

Order/Invoice number (if applicable)

Tax Exempt Form

Click or drag a file to this area to upload.

Signature *

Digital Signature

Name