Credit Card Payment Authorization Template 1
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CREDIT CARD PAYMENT AUTHORIZATION
I, _______________________, hereby authorize the Five Sails Restaurant to charge all
expenses incurred as indicated to the following credit card.
NAME ON CREDIT CARD:
COMPANY NAME:
CARD TYPE AND NUMBER:
EXPIRY DATE:
AUTHORIZED SIGNATURE:

DATE:

RESERVATION

DATE:

_____
_____
_____
_____

All Charges
Food
Beverage
Deposit
______________
*Please refer to cancellation guidelines

_____

Gift Certificate _______________________________
* Please note that gift certificates are not redeemable for cash/credit

#410 – 999 Canada Place
Vancouver, BC Canada V6C 3E1
T: 604-844-2855 F: 604-682-6321
www.fivesails.ca email: [email protected]

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