Embassy Suites Credit Card Authorization Form PDF Details

If you are looking to use your Embassy Suites credit card for hotel reservations, you will need to fill out the credit card authorization form. This form authorizes the credit card company to charge your account for the cost of the room and any associated taxes and fees. This form provides the hotel with the necessary information and authorization to charge the guest's or group's credit card for their stay or event, ensuring a smooth billing process.

QuestionAnswer
Form NameEmbassy Suites Credit Card Authorization Form
Form Length1 pages
Fillable?Yes
Fillable fields33
Avg. time to fill out6 min 51 sec
Other namesembassy suites credit card payment authorization form, embassysuites credit card authorization form, embassy suites credit authorization form, credit card authorization form for embassy suites by hilton denver international airport

Form Preview Example

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Embassy Suites

Credit Card Payment Authorization Form

Please complete all areas below. Incomplete requests may be rejected. This form must be received at least 5 business days prior to the Check-In, or by specified date in Event Contract, to ensure acceptance of the credit card to be charged.

FAX COMPLETED FORM TO: 512-323-0019

ATTN: ______LaToya________________________

Guest / Group Name:

Date: _____________________________

 

 

Check-In / Event Date:

Check-Out / Event Date:

 

Confirmation #:

 

 

Name of Person/Group Making Reservation:

 

Phone:

Authorized Amount:

Approval Code:

Date:

CARDHOLDER - Please complete the following section and sign/date below.

Cardholder Name as it Appears on Credit Card:

Cardholder Billing Address:

 

 

 

 

 

City:

 

State:

 

Zip:

 

Daytime /Business Telephone:

 

 

 

Evening Telephone:

 

Credit Card Number:

 

 

 

Expiration Date:

 

Credit Card Type: (Circle one)

 

 

 

 

 

Visa/MasterCard

American Express

Discover

 

JCB

Diners Club

Credit Card Issuing Bank Name:

 

Bank Phone Number (from back of your credit card):

 

I agree to cover the following categories of charges: (Please circle)

 

 

 

All Charges

Room & Tax

Food & Beverage

Retail

Recreation

I agree to cover the above categories of charges up to a Maximum Amount of $ __________________

 

DIRECT BILL ACCOUNT PAYMENTS ONLY:

 

 

 

 

Name on Invoice/Statement

 

_______ ______

Date on Invoice/Statement

 

Invoice/Statement Number _________________________ ______________

Authorized Amount $_______________________

Amount to be charged to credit card for room and taxes or deposit: $______________

Final Balance Billed to Credit Card (hotel use only): $_______________

By signing below, you authorize the hotel to charge your credit card for the amount indicated above up to the “Maximum Amount” indicated above. You further acknowledge that if “all charges” has been selected, then all guest/group related charges (less Deposit) will be charged to the above card number at the time of check-out or event conclusion.

Cardholder Signature:

Date:

How to Edit Embassy Suites Credit Card Authorization Form Online for Free

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part 1 to completing credit card auth form embassy suites

Provide the appropriate details in the field Credit Card Number Credit Card, VisaMasterCard, American Express, Discover, JCB, Diners Club, Credit Card Issuing Bank Name, Bank Phone Number from back of, I agree to cover the following, All Charges, Room Tax, Food Beverage, Retail, Recreation, and I agree to cover the above.

Credit Card Number Credit Card, VisaMasterCard, American Express, Discover, JCB, Diners Club, Credit Card Issuing Bank Name, Bank Phone Number from back of, I agree to cover the following, All Charges, Room  Tax, Food  Beverage, Retail, Recreation, and I agree to cover the above in credit card auth form embassy suites

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