Credit Card Authorization Form - South by Southwest

[Pages:1]Credit Card Authorization Form

Guest's Name:________________________________________________________________

Arrival Date:_________________

Departure Date:_________________

Room and Tax Only

Room, Tax and Incidentals

Credit Card Type:

Visa

Mastercard

Discover

American Express

Other ______

Credit Card Number: ______________________________

Exp. Date:_______

Credit Card Holder Information

First Name:_________________

Middle Initial:______ Last Name:_________________

Billing Address:____________________________________________________________________ _________________________________________________________________________________

City:_______________

State:_____

Zip Code:_______________

Email:_________________________

Telephone:__________________________

Signature:_______________________

Date:______________

Holiday Inn Express & Suites Austin NW- Arboretum Area Austin, TX 78759 Telephone: (512) 346-5555 Fax: (512) 795-9780

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