Credit Card Authorization Credit Card Authorization Setup Authorization I, representing authorize the use of my Select Card Type Personal Company Credit Card for payment on behalf of: Guest or Event Name: Phone: Email: Properties Alyeska Nordic Spa (US)Alyeska ResortCrosswaters ResortElement Four PointsGaming Chances Fort St JohnGrande Prairie Pomeroy Hotel & Conference CentreHoliday Inn Express - Grande PrairieHoliday Inn Express -Ft. St. JohnKananaskis Nordic Spa (CAN)Lucky Dollar Bingo ManagementLucky Dollar Bingo PalaceMotel 6 - Grande PrairieMount Kidd ManorPomeroy Hotel & Convention Centre Ft. St. JohnPomeroy Hotel Fort McMurrayPomeroy Inn & Suites - ChetwyndPomeroy Inn & Suites - Dawson CreekPomeroy Inn & Suites - Fort St. JohnPomeroy Inn and Suites - Prince GeorgePomeroy Inn and Suites - OldsPomeroy Inn and Suites VermilionPomeroy Kananaskis Mountain LodgeRamada Inn - ClairmontWestin Calgary Authorized Charges Room, Tax & Security DepositGuest Laundry ServicesGuest MealsDry Cleaning ServicesRoom AmenityCateringAlcoholic BeveragesEventLong DistanceSPAPay Per View MoviesOther Comments Credit Card Details Card: Select Card Type Visa Master Card American Express Credit Card #: Name on Card: Expiry Date: 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 CVV2: Credit Card Statement Address Address 1: Address 2: City: Province/State: Postal Code: Any questions about this card please contact Name: Phone: Email: Email copy of bill at check-out to: Email: Authorization Terms Date of Authorization: This authorization is to remain in effect for a given time period - This authorization will be renewed as required for similar time periods OR This authorization is to be ongoing until cancelled, in writing by the card holder or their designate. A preauthorization for $1.00 will be done for verification purposes only. Be advised that in the event of the Expiry of this Credit Card, it will be the responsibility of the Credit Card holder to reissue the above Credit Card Authorization. Be advised that by entering your credit card information into this form it does not constitute a reservation at the selected hotel property. You must still contact the hotel directly to book your reservation needs via the following options; by phone, hotel website or your travel agent. I have read and agree with the terms and conditions above.