Dealing with credit card authorization forms can be a tedious process, but it is often necessary in order to provide proper security for both parties involved. Whether your business's policy requires that you ask for constant credit card authorization via form, or if someone is asking to pay with their credit card and you need an easy way to get authorization from them electronically; the Motel 6 Credit Card Authorization Form offers a great solution. Read on to learn more about incorporating this handy form into your current processing practices!
| Question | Answer |
|---|---|
| Form Name | Motel 6 Credit Card Authorization Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | authorization form motel 6, authorization motel 6, form motel 6 template, motel 6 credit card |
CREDIT CARD AUTHORIZATION RELEASE FORM
Motel 6 & Studio 6
PROPERTY INFORMATION
Number and Name:
Address:
Phone Number:
Fax Number:
RESERVATION INFORMATION
Guest Name:
Arrival Date:
Confirmation Number:
Departure Date:
TO BE COMPLETED BY AUTHORIZED CARDHOLDER
Cardholder or Company Name:
VISA * MASTERCARD * AMERICAN EXPRESS * JCB CARD * DISCOVER * DINERS/CARTE BLANCHE
Credit Card Number: |
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Expiration Date: |
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Billing Address: |
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Cardholder’s Phone Number: |
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Cardholder’s Fax Number: |
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Cardholder’s Email Address: |
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I, (Name as it appears on card)_________________________ hereby authorize (guest staying at property)
__________________________________ to charge the following to my credit card: (Check all that apply):
_____All Charges
_____Room and Tax
_____Other (i.e. WiFi, Fax, etc) (Please specify) ___________________________________
I agree to be solely responsible for all charges made by the above named individual while staying at the property.
Cardholder Name:
Cardholder Signature:
Date of Authorization:
*For AMERICAN EXPRESS authorizations, please submit a legible copy of the cardholder’s ID (i.e. driver’s license, state ID, etc) with this form.
* For ALL OTHER authorizations, please submit a legible copy of front of the billing credit card and the
cardholder’s ID (i.e. driver’s license, state ID, etc) with this form.
Approval(s):
Date Paperwork Received:
Revised 11/22/10