Credit Card Debt Authorization Letter
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1ReservHotel LLC
rd
3363 NE 163
Street, Suite 704
North Miami Beach, FL 33160
U.S.A.
Ph: 305-354-9400
Fx: 305-354-9200
CREDIT CARD DEBT AUTHORIZATION LETTER
I
(card holder's name)
authorize ReservHotel LLC. to charge on my credit card:
Total amount of:
USD$
AMERICAN EXPRESS:
EXP. DATE:
CVC #
MASTER CARD
EXP. DATE:
CVC #
VISA
EXP. DATE:
CVC #
Reference to Invoice #(s)
(if paying more than one invoice, please give amount for each invoice)
Hotel Name:
Hotel Number:
City/State:
Country:
Card Holder's Full Name:
Card Holder’s Signature
Billing Address:
Date: ____/________/_________
PLEASE SEND FAX BACK AT:
USA:
(305) 354-9200
International:
00-1-305-354-9200
Attn:
Accounting Department
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Parent category: Letters