Credit Card Authorization Form - Westin Princeton Hotel printable pdf download

The Westin Princeton Hotel

CREDIT CARD AUTHORIZATION FORM

Instructions:

1) Fill in all blank areas. Specify charges to be paid with this card. Only cardholder can sign this form.

2) Provide a legible photocopy of both sides of the card for verification purposes. Provide a picture I.D.

showing the signature of the cardholder. Otherwise, this authorization is not complete.

3) Send back to: NAME Fax#: 609-452-0927 Telephone #:

FUNCTION NAME:________

DATES: From

- - - - - - - ADVANCE DEPOSIT

$____________________

(as per attached Pro-forma Invoice)

- - - - - -ALL CHARGES

$_______$___________

(as per attached Pro-forma Invoice

- - - - - - - MEETING ROOM RENTAL $____________________

)

(as per attached rooming list

- - - - - - - GUEST ROOM CHARGES $____________________

)

- - - - - - - INCIDENTALS GUEST ROOMS: All___ Meals___ Telephone___ Other____________________ (check to specify)

(These charges will not be known until departure. Estimated amount will be secured on the credit card)

IS THIS CARD TO BE USED FOR THE FINAL SETTLEMENT OF THE EVENT IN CASE THAT ADDITIONAL ROOMS

AND/OR SERVICES ARE PROVIDED DURING THE STAY?

YES____

NO____

I, the undersigned, hereby authorize the Westin Princeton Hotel to charge the credit card listed below,

prior to the arrival date, for the items specified by my initials on the dotted lines.

CREDIT CARD NUMBER: ______________________________________________________ EXP DATE______/______

CARDHOLDER’S NAME: ______________________________________________________________________________

BILLING ADDRESS:____________________________________________________________________________________________

(for this card)

(number/street)

(apt.#)

(city/state/zip)

TEL #______________________________

-----------------------------------------------------

CARDHOLDER’ SIGNATURE

FAX # _____________________________

Hotel Use Only:

Sales/Catering Manager(s) ____________________________________ / ___________________________________

Master Folio Code_______________ A/R Account # _______________ Estimated Revenue $___________________

Credit Card Approval Code__________________ Date_______/________/_______

Credit Card Authorization Form - Westin Princeton Hotel