Hotel Continental North Star Resort

Credit Card Details Authorization Form

Please complete in BLOCK CAPITALS and resend it back to us with a copy of the credit card in 24h.
The reservation will be cancelled, if we will not receive the information in order to guarantee your
booking!

I hereby authorise SC Continental SRL to preauthorise or / and charge my credit card for the
stay of the Guest (Guest Name): Grujic Vladimir
For the reservation number…………….
Arrival Date: 11.nov.2022. Departure Date: 12.11.2022.
Credit Card Number: 4381 6366 0845 7117

Expiry Date: 04/25

Name of Card Holder: Grujic Vladimir

Signature of Card Holder: Grujic Vladimir

Address of Card Holder: Narodnih Heroja 24 Belgrade

Telephone Number : 38163359987

E-mail Adress: vladagrujica@yahoo.com

If the guest is not paying the bill at the check-out, the hotel is authorized to charge ALL costs
incurred by the guest to the credit card above and to send a copy of the bill to the e-mail
adress above.

If the above guaranteed reservation will be a NO-SHOW, the hotel is authorized to charge the
costs for the first night of the stay from my credit card.

Signature of Card Holder: Grujic Vladimir

B-dul Revolutiei 1989, nr.5, 300054, Timisoara, Romania

Tel/Fax: +40-256-494144
rezervari@hotelcontinental.ro
www.hotelcontinental.ro
Grujic Vladimir