Credit Card Authorization

Credit Card Authorization Setup

Authorization

I, representing authorize the use of my

Credit Card for payment on behalf of:

Guest or Event Name:

Phone:

Email:

Properties

Authorized Charges

Comments

Credit Card Details

Card:
Credit Card #:
Name on Card:
Expiry Date:	/
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

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.