Credit Card Authorization Form - Marriott Maquis City Center Doha
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1CREDIT CARD AUTHORIZATION FORM
Dear Sir/Madam,
This form has been created in order to allow you to have third party expenses charged to your company credit card*.
Please provide all the information requested below to ensure prompt processing of your application. We request you to
please sign and date the form before submission. Please fax the completed form to MARRIOTT MARQUIS CITY CENTER
DOHA HOTEL at 974.4419.5600
*Company credit card must be registered to the company address and not to an individual employee’s address/name.
Cardholder Information - Required
Company name as it appears on the credit card:
Card type:
Visa
MC
Amex
Diners/CB
JCB
Card number:
Exp. date:
Company address:
(where card is registered)
City, State and Zip:
Phone number:
F ax or alternate number:
Guest Information - Required
Guest name:
Address:
City, State and Zip:
Company:
Phone number:
F ax or alternate number:
Confirmation number:
Arrival date:
Departure date:
Relation to cardholder:
Relative
Friend
Business Associate
Other:
I understand that should there be any issues with the credit card being used to settle my charges, I will be responsible for
all expenses incurred during my stay. Departure date cannot be extended unless a new authorization form is completed.
Guest name: (Printed)
______________
Guest signature:
Date:
Rate Information and Approved Charges - Required
Room rate:
Number of nights:
All Charges
Room & Tax
Telephone (LD)
Telephone (Local)
Restaurant
Parking
HS Internet Access
Room Service
Valet (Laundry)
Movies
Visa
Other:
I certify that all information is complete and accurate. I hereby authorize MARRIOTT MARQUIS CITY CENTER DOHA HOTEL to collect
payment for all charges as indicated in the ‘Rate Information’ and ‘Approved Charges’ section of this form by processing a charge to the
company credit card listed above. Charges must not exceed for the entire stay/event. I understand that a new form will have to be
completed if guest wishes to extend his/her stay. I certify that I am the authorized signer of the credit card listed above.
Company name:
(Printed)
Authorized signature:
Date:
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Parent category: Business