Credit Card Authorization Form - Crowne Plaza Hotel/holiday Inn Express printable pdf download

Credit Card Authorization Form - Crowne Plaza Hotel/holiday Inn Express

Credit Card Authorization Form

I hear by authorize the Crowne Plaza Hotel/ Holiday Inn Express,

Springfield, IL, to charge my: ______________________________

(Type of credit card, i.e.: Visa, Mastercard, Discover etc.)

Account Number (if applicable):_____________________________

Expiration Date:_________________________________________

Print Name as it appears on front of credit card:

_______________________________________________________

Authorized Signature:_____________________________________

Group Name: Township Officials of Illinois_ Date of Arrival:_______

Sales Manager: Judi Elliott___________________________________

Credit Card to be charged for:

____ Food and Beverage & Meeting Room Rental

____ Overnight Accommodations (Room & Tax)

____ Overnight Accommodations (Room, Tax & Incidentals)

____ Other (Please Describe)

________________________________________________________

Your final estimated payment is due 5 business days prior to the function/arrival date and

will be charged to the credit card on file. If a balance is remaining after the event; the

credit card on file will be charged for the remaining balance.

Fax completed form to Darlene Sidwell, 217-585-1373.

Credit Card Authorization Form - Crowne Plaza Hotel/holiday Inn Express