Credit Card Authorization Form

Credit Card Authorization Form

Holiday Inn Express & Suites, Paso Robles
I, First Name Last Name , as the cardholder, hereby authorize the use of my credit card for the following charges to be incurred at the Holiday Inn Express & Suites, Paso Robles.
Select each item to indicate your approval for charges to your credit card
Cardholder Name

First NameLast Name
Company Name
Name of the Guest(s)
Arrival Date

MonthDayYear
Date
Departure Date

MonthDayYear
Date
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
Please enter a valid phone number.Format: (000) 000-0000.
Credit Card Number
Credit Card Expiration Date

MonthDayYear
Date
Number of Rooms
Number of Occupants
A copy for the front and back of the credit card and ID must accompany this form in order for the hotel to process the payment.

Cancelof
Date

MonthDayYear
Date
Cardholder Signature
Should be Empty: