Meaningful Shabbos Sign Up Form

Meaningful Shabbos Sign Up Form
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Number of Rooms*
Number Of Adult Guests*
Number Of Kids Guests*
Special Requests
Please list any special requests such as a crib, cot, connecting rooms, etc.

Choose Payment Method*

ZelleCredit/Debit Card
Zelle Payment Instructions
You have chosen to pay via Zelle. Please complete your payment using the instructions below before submitting this form.

Send your Zelle payment to: evan@giraffehospitalitygroup.com

Enter “Meaningful Shabbos” in the memo line of your payment.

Once payment is sent, complete the two required fields below:
1. Upload a screenshot of your Zelle payment confirmation
2. Enter the name associated with the Zelle account the payment was sent from
Forms submitted without a screenshot of payment of the Zelle will not be processed.

For any questions, please call (973) 346-4432.
Zelle Payment Confirmation*

Upload a screenshot of your completed Zelle transfer.
Cancelof
THIRD PARTY CREDIT CARD AUTHORIZATION FORM
This authorization form confirms that the below mentioned guest is authorized to use my credit card for payment of their charges while staying at the DoubleTree by Hilton Fairfield Hotel & Suites .
Name as it appears on the credit card: *

First NameLast Name
Card type (please check):*

VisaMCAXDiners/CBJCB
Credit Card Account number:*
Exp date*

MonthDayYear
Date
Expiration date * *
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
I certify that all information is complete and accurate. I understand that I am responsible for all agreed upon chargesand/or damages incurred on this account. If any changes need to be made to this form I am responsible for notifying theabove mentioned hotel and filling out a new authorization form. I certify that I am the authorized signer of the credit cardlisted above.
Cardholder Name Printed*
Cardholder Signature*

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Meaningful Shabbos Sign Up Form

Zelle Payment Instructions

Once payment is sent, complete the two required fields below:

THIRD PARTY CREDIT CARD AUTHORIZATION FORM