Credit Card Authorization Request - Holiday Inn Express & Suites (West Indore Place Littleton, Colorado)
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112683 West Indore Place Littleton, Colorado 80127
Phone: 720.981.1000 :: Fax: 720.981.1507
Credit Card Authorization Request
Please type or use Block Letters
I _________________________, (as shown on the card) authorize the Holiday Inn
Express & Suites to use my credit card:
Number ______________________________ Expiration date __________
3-digit card identification number: _________
Billing address of the credit card: ________________________________
_____________________________________________________________
_____________________________________________________________
To pay the charges of:
Name of guest ______________________________________________________
Confirmation number__________________________
Arrival date ____________ Departure date or number of nights _____________
I authorize the following charges:
______ Room and tax only
______ Room, tax and telephone only
______ All charges including incidentals
___________________________
__________
Authorized Signature
Date
If you need a copy of the bill to be faxed to you upon departure, please enter the number below:
Fax: ________________________ Attention: _________________________
Your credit card or debit card will be charged in full for room and tax
(full length of stay) plus an additional 15% incidental deposit will be authorized.
Your debit card authorization can take up to 14 days to be released.
This credit card will be used for the charges above if an authorization from the bank is
approved. One night of room and tax will be charged in the event of a no-show.
Reservation must be canceled by 4pm MT. the day prior to arrival and a cancellation
number must be obtained.
NOT VALID UNLESS ACCOMPAINIED BY A LEGIBLE COPY OF THE FRONT
OF THE CREDIT CARD, DRIVERS LICENSE AND SIGNED BY THE
CARDHOLDER.
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