CREDIT CARD AUTHORIZATION FORM
Hotel:
*Hyatt Place and HYATT house properties do not accept this form.
Individual/Business/Group or Event Name:
Reservation Confirmation Number:
Arrival or Event Date(s):
Credit Card Billing Address:
City / State / Zip / Country:
Contact Phone Number:
Contact Email Address:
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
All Stay Charges
Food & Beverage
All Banquet Charges
Guest Amenity
Other - see comments
All Incidentals
Resort Services Fee
Parking
I hereby authorize the following amount be applied to the
credit card (applicable sales tax and service charges may apply):
* A service charge of 1.5% will be applied when using this form for Hyatt hotels in Australia
(excluding Park Hyatt Sydney)
Comments:
The credit card listed below may be billed for the estimated charges Ten (10) days prior to event/reservation date.
Credit Card Number:
Name on Card:
Expiration Date:
Cardholder Phone #:
Current Date
Signature of Card Holder:
By submitting this form and any supporting documents, I confirm that I have read and agreed to the use of the personal information
I am giving you in accordance with your Global Privacy Policy for Guests, which is available at
Please fax this completed form to:
Hotel Fax #: 02 794 9906
Please transmit this form at least 72 hours prior to your planned arrival in order to ensure your request is processed.
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