HTML Preview Authorization Credit Card Form page number 1.
CREDIT CARD AUTHORIZATION FORM
Individual/Business/Group or Event Name:
Reservation Confirmation Number:
Arrival or Event Date(s):
Room & Tax
Food & Beverage
All Incidentals
Only Specific Incidentals All Banquet Charges
Gift Certificate
Guest Amenity
I hereby authorize the following charges to be applied to the following credit card.
Check all that apply:
Credit Card Billing Address:
City / State / Zip / Country:
Please fax this completed form to:
http://www.hyatt.com/hyatt/site-map.jsp
Comments:
Credit Card Number:
Expiration Date: Cardholder Phone #:
Signature of Card Holder:
Hotel:
Hotel Fax #:
For a list of all hotels and their contact information, please visit:
Current Date
Resort Services Fee Parking
Contact Phone Number:
I hereby authorize the following amount be applied to the
credit card (applicable sales tax and service charges may apply):
All information is kept confidential and used only for the purposes as noted above.
Other - see comments
Name on Card:
The credit card listed below may be billed for the estimated charges Ten (10) days prior to event/reservation date.
Please transmit this form at least 72 hours prior to your planned arrival in order to ensure your request is processed.
Hotel does not accept credit card authorization requests for same day arrivals.
All Stay Charges
Contact Email Address:
By submitting this form and any supporting documents, I confirm that I have read and agreed to the use of the personal information
I am giving you in accordance with your Global Privacy Policy for Guests, which is available at privacy.hyatt.com
*In Australia: An additional 3% service fee will apply to the total stay account when paying by Amex and Diners credit cards upon departure.
All other credit cards will incur an additional 1.5% fee which will apply to the total stay upon departure (excluding Park Hyatt Sydney).
City Tax
1/19/17