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Credit Card Authorization Form

This credit card authorization form allows the L'Enfant Plaza Hotel to charge a guest's credit card for hotel charges including room, parking, taxes, and other incidentals up to a specified amount. The form collects the guest's name, billing address, phone number, credit card information, expiration date, and signature authorizing the hotel to charge the card. It notes that applicable taxes are 14.5% city occupancy tax and 0% state sales tax, and that a tax exempt form is required to waive taxes if the guest is tax exempt in their state of residence.

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Rikesh Kumar Patel
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88 views1 page

Credit Card Authorization Form

This credit card authorization form allows the L'Enfant Plaza Hotel to charge a guest's credit card for hotel charges including room, parking, taxes, and other incidentals up to a specified amount. The form collects the guest's name, billing address, phone number, credit card information, expiration date, and signature authorizing the hotel to charge the card. It notes that applicable taxes are 14.5% city occupancy tax and 0% state sales tax, and that a tax exempt form is required to waive taxes if the guest is tax exempt in their state of residence.

Uploaded by

Rikesh Kumar Patel
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Credit Card Authorization Form

Company/Guest Name: _______________________________ Arrival Date: ________________


Confirmation Number (if applicable): ________________________________
Card Holder Name: _____________________________________________________________
(As it appears on card)
Billing Address: _________________________________________________________
_________________________________________________________
_________________________________________________________
Telephone Number: ______________________________________________________
Credit Card Number: _____________________________________________________
Credit Card Type: _________________________

Exp. Date: _________CNP:_____

Statement of Cardholder
The LEnfant Plaza Hotel is authorized to charge the credit card listed above for the following charges, not
to exceed _____________________________________.
Room charge plus all applicable taxes
Room charge, parking services and all applicable taxes
All charges, plus applicable taxes
Other: __________________________________________________________
_________________________________________________________
Applicable taxes are: 0% State Sales Tax, 14.5% City Occupancy Tax
NOTE: If you are exempt of any of the above mentioned taxes, a valid State of ___________________
Tax Exempt form must be attached. Cardholder name appearing on the credit card must match the name
on the Tax Exempt form in order to be exempt of the above taxes.

__________________
Date

__________________________________________
Signature of Cardholder

***A LEGIBLE COPY OF BOTH SIDES OF THE CARD AND A LEGIBLE GOVERNMENT
ISSUED PICTURE ID MUST BE SUBMITTED WITH THIS FORM FOR THE
AUTHORIZATION TO BE PROCESSED***

LEnfant Plaza Hotel


480 LEnfant Plaza, SW
Washington, DC 20024
202-484-1000
Hotel Fax: 202-646-4456

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