Get Credit Card Authorization Form

Credit Card Authorization Form Dear Sir/Madam This form has been created in order to allow you to have third party expenses charged to your credit/debit card. Departure date cannot be extended unless a new authorization form is completed. Printed Guest signature Date Rate Information and Approved Charges - Required Room rate Number of nights All Charges Room Tax Telephone LD Telephone Local Restaurant Room Service Valet Laundry Parking HS Internet Access Movies I certify that all information is complete and accurate. I hereby authorize RENAISSANCE DOHA CITY CENTER HOTEL COURTYARD BY MARRIOTT DOHA CITY CENTER and MARRIOTT EXECUTIVE APARTMENTS DOHA CITY CENTER to collect payment for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to the credit/debit card listed for the entire stay/event. 44195600. Cardholder Information - Required Name as it appears on the credit/debit card Card type Visa Account type Individual personal credit card Corporate MC Amex Diners/CB Discover JCB Company Name Account number Exp. date Address where statement is mailed City State and Zip P hone number F ax or al ternate number Guest Information - Required Guest name Company Confirmation number A rri val date D eparture date Relation to cardholder Relative Friend Business Associate Other I understand that should there be any issues with the credit/debit card being used to settle my charges I will be responsible for all expenses incurred during my stay. Departure date cannot be extended unless a new authorization form is completed. Printed Guest signature Date Rate Information and Approved Charges - Required Room rate Number of nights All Charges Room Tax Telephone LD Telephone Local Restaurant Room Service Valet Laundry Parking HS Internet Access Movies I certify that all information is complete and accurate. Please provide all the information requested below to ensure prompt processing of your application* We ask you to please sign and date the form before submission* Please fax the completed form to RENAISSANCE DOHA CITY CENTER HOTEL COURTYARD BY MARRIOTT DOHA CITY CENTER and MARRIOTT EXECUTIVE APARTMENTS DOHA CITY CENTER at 00974. 44195600. Cardholder Information - Required Name as it appears on the credit/debit card Card type Visa Account type Individual personal credit card Corporate MC Amex Diners/CB Discover JCB Company Name Account number Exp* date Address where statement is mailed City State and Zip P hone number F ax or al ternate number Guest Information - Required Guest name Company Confirmation number A rri val date D eparture date Relation to cardholder Relative Friend Business Associate Other I understand that should there be any issues with the credit/debit card being used to settle my charges I will be responsible for all expenses incurred during my stay. Departure date cannot be extended unless a new authorization form is completed* Printed Guest signature Date Rate Information and Approved Charges - Required Room rate Number of nights All Charges Room Tax Telephone LD Telephone Local Restaurant Room Service Valet Laundry Parking HS Internet Access Movies I certify that all information is complete and accurate. .