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Payment Card Authorization Form: DATE

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290 views1 page

Payment Card Authorization Form: DATE

Uploaded by

jcn5770
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Payment Card Authorization Form

Crowne Plaza Montreal Airport


6600 Cote De Liesse
Montreal, Quebec H4T 1E3
Canada
Fax: +1-514-9041726
Front Desk: +1-514-3441999
DATE:__________

I, ________________________ authorise to charge my credit card for the guest


_______________ and her hotel charges in association with:

☐ Room & Tax


☐ Incidentals
☐ Banquet Charges
☐ Other ____________________________________

Confirmation Number: ___________


Arrival Date: ____________
Number of Nights: ____

This reservation will be guaranteed to the payment card provided. In the event of a no-show,
the payment card will be charged Room & Tax.

Name on Card: ________________________


Payment Card Number: _____________________
Expiration Date: _______
Security Code (3 Digits): _____
Billing Address:
__________________________
__________________________
__________________________
Telephone: _______________

Signature: ___________________

Please attach a legible photocopy of the cardholder's Driver Licence and the payment card front and back.

Please complete this form in its entirety, include all requested documentation, and fax it to the hotel at least 3
days prior to check-in to allow for processing. If you have fewer than 3 days before the check-in date, please
call the hotel for instructions.

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