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Credit Card Authorization Form Template

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105 views1 page

Credit Card Authorization Form Template

Uploaded by

7jppbjkbtf
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CREDIT CARD AUTHORIZATION FORM

Guest Name: ___________________________________________________


LUCY LUU

Company Name: ________________________________________________


LEVEL22PRODUCTION

Confirmation Number: ____________________________________________


26736846

Arrival Date: ________________


08/16/25 Departure Date: _________________
08/19/25

Billing Address: _________________


626 Manhattan Rd City: ___________
Joliet State: ____
IL Zip: ______
60433

Telephone: _________________________
8723716244

Credit Card Number: ___________________________


5218531118883926 Expiration: ___________
08/2029

Card Holder’s Name: _______________________________________________


Darwin Moore

Authorized Signature: _______________________________________________

Please accept this letter as an authorization to bill the above individual/company at


the above address for the following charges

____
X Bill All Charges
____ Room and Tax Only
____ Incidental Charges Only
____ Meeting Room Charges Only

**In order for this form to be accepted and for charges to be billed,
Please note that this
information is confidential and is for the use of the hotel.

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