1) Please call us to confirm room availability and rates.
2) Please fill out this form and fax to COMPANY NAME at (123) 123-4567, along with a photocopy of your
credit card and government issued photo identification (e.g. driver's license or passport). Failure to fill out
this form completely will delay check-in.
Authorization to Charge Credit Card
Credit Card #
Date of Arrival
# of Nights
Total Due ($)
By signing this form, I hereby authorize COMPANY NAME to charge the credit card identified for all charges
associated with the above requested room reservation, including room charges, taxes, and any resulting
damages. I understand and accept that COMPANY NAME has a no refund policy and that the above named
room reservation is non-refundable.
Authorized Signature of Cardholder
Copyright information - Please read
© This Free Microsoft Office Temp