Www.tourconnection.com
CREDIT CARD BILLING AUTHORIZATION FORM
GUEST INFORMATION
COMPANY NAME:
GROUP NAME:
CONTACT: PHONE:
ARRIVAL DATE: DEPARTURE DATE:
CHARGES TO BE BILLED (please indicate by marking an X in the appropriate boxes below)
[ ] ALL CHARGES [ ] CATERING AND MEETING CHARGES
[ ] GUEST ROOMS & TAXES [ ] GRP ROOM DEPOSITS: AMOUNT $_______________
[ ] GUEST INCIDENTALS [ ] CATERING DEPOSITS: AMOUNT $________________
[ ] OTHER (Description):
CARD HOLDER INFORMATION
COMPANY NAME:
FIRST NAME: LAST NAME:
[ ] AMERICAN EXPRESS [ ] VISA [ ] MASTER CARD [ ] DINERS CLUB [ ] DISCOVER
CARD NUMBER: EXPIRATION DATE:
I HEREBY AUTHORIZE THE SOFITEL PHILADELPHIA TO USE THE CREDIT CARD INFORMATION PROVIDED ON THIS FORM EITHER AS A GUARANTEE OR AS PAYMENT FOR THE CHARGES DESCRIBED ABOVE. SUPPORTING DOCUMENTATION WILL ACCOMPANY ALL CHARGES. BY SIGNING BELOW I AGREE TO PAY MY CREDIT CARD ISSUER FOR THE CHARGES AGREED TO ABOVE IN ACCORDANCE WITH MY CARDHOLDER AGREEMENT.
CARD HOLDER’S SIGNATURE: DATE SIGNED:
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- getroman com reviews
- acurafinancialservices.com account management
- https www municipalonlinepayments
- acurafinancialservices.com account ma
- getroman.com tv
- http cashier.95516.com bing
- http cashier.95516.com bingprivacy notice.pdf
- connected mcgraw hill com lausd
- education.com games play
- rushmorelm.com one time payment
- autotrader.com used cars
- b com 2nd year syllabus