Hyatt Credit Card Authorization Form

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CREDIT CARD AUTHORIZATION FORM
Hotel:
Guest Name(s):
Guest Reservation Confirmation Number:
Function Name (if applicable):
Guest Arrival Date(s):
Name of Business (if applicable):
Credit Card Billing Address:
City, State, and Zip:
Guest Phone Number:
I hereby authorize the following charges to be applied to the following credit card.
Check all that apply:
Room & Tax
Only Specific Incidentals
Gift Certificate
Food & Beverage
All Banquet Charges
Guest Amenity
All Incidentals
Parking
Other
I hereby authorize the following
amount be applied to the credit card:
Comments:
Credit Card Number:
Credit Card
Expiration Date:
Debit Card
Name on Card:
Current Date
Signature of Card Holder:
Please fax this form with a readable photocopy of the front and back of the signed credit card to:
Hotel Fax #:
For a list of all hotels and their contact information, please visit:
.
All information is kept confidential and used only for the purposes as noted above

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