CREDIT CARD AUTHORIZATION

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Date:                           

Group Name    __________________________________________________

 

Group Dates     __________________________________________________

 

Address           __________________________________________________

 

                        __________________________________________________

 

Phone               __________________________________________________

 

Credit Card
Number______________________________________________

           

            Expiration
Date____________________________________________

 

Please fax a copy of
the Front and Back of the credit card to fax # _______________.

You may also choose
to e-mail a scanned copy of the Front/Back of the credit card to [email protected]

 

Please specify all charges that the credit card will be used
for:

 

Room and Tax _____                           Phone
_____                            Room
Service ______

 

Restaurant/Lounge _____                     Meeting
Room ______ Banquet Food/Beverage ____

 

Other (Please Specify) _____________________________________

 

I AUTHORIZE THE _________________________________ HOTEL TO
UTILIZE THE ABOVE CREDIT CARD FOR ANY CHARGES AS LISTED ABOVE.

 

 

 

 

 

Signature of Cardholder

 

 

Hotel Name Here

Hotel Address here

Hotel Address here

Phone:           Fax:  

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