Hilton (Akron/fairlawn) Credit Card Authorization Form printable pdf download

CREDIT CARD AUTHORIZATION

Due to an increase in credit card fraud and protection of the card holder, please make sure this form is completed in its entirety -including attachment of all

requested items. An incomplete or illegible form may result in non-approval. Completion of this letter does not guarantee approval of your request.

All information is kept confidential and used only for the purposes as noted below.

You are hereby authorizing the Hilton Akron/Fairlawn to bill the indicated charges incurred by the individual(s) listed below

(charges may be posted up to 72 hours prior to arrival). Signatures and copies of identification are to be clear and legible.

Once completed please attach the following:

1.) Legible copy front and back of the credit card

2.) Legible copy of photo ID bearing signature

330-867-3448

Please fax completed form to:

LIST NAME(S) OF INDIVIDUALS/GROUPS YOU ARE AUTHORIZING US TO BILL TO YOUR CREDIT CARD

Name

Confirmation Number

Arrival/Departure Dates

1.) ______________________________________________________________________________________

2.) ______________________________________________________________________________________

3.) ______________________________________________________________________________________

4.) ______________________________________________________________________________________

5.) ______________________________________________________________________________________

6.) ______________________________________________________________________________________

Comments: ________________________________________________________________________________

CHARGES YOU ARE AUTHORIZING

Room & Tax: ______

Beau’s Grille: ______

All Charges: _____

Movies: ______

Banquet/Catering: ______

Other (Please Specify): _______

Telephone: ______

Audio/Visual: ______

Charges Not to Exceed: _______

If you are not covering all charges, your party must have a credit card to secure any remaining incidentals or overage.

INFORMATION AS IT APPEARS ON YOUR ACCOUNT

Last Name: ________________________________ First name: ____________________________ M.I.: ______

Address: ____________________________________________________________________________________

Home Phone: _____________________________ Business/Cell Phone: _________________________________

Card Number: _________________________________________ Card Type: _________ Exp. Date: __________

NOTE: DEBIT CARD AUTHORIZATION FREEZES FUNDS IN THE ACCOUNT UP TO 10 BUSINESS DAYS.

I authorize the Hilton Akron/Fairlawn to charge this credit card as indicated and any outstanding balance not

covered by my indicated payment, in the event charges are not completely settled upon conclusion.

Signature: ___________________________________________________________ Date: _______________

e Please mail final folio to address above

e Please email final folio to: ____________________________________________

Hilton Akron/Fairlawn 3180 West Market Street Akron, Ohio 44333

Phone: 330-867-5000 Fax: 330-867-1648

Hilton (Akron/fairlawn) Credit Card Authorization Form

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