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Credit Card Authorization Form for AD1 Hotels Fort Myers

Joseph Zimmer authorized AD1 Hotels Fort Myers, Candlewood Suites Fort Myers Sanibel Gateway to charge his credit card for the reservation of Francisco Lopez from March 12, 2023 to March 13, 2023. He circled that room, tax, and incidental charges would be charged to the card and that the guest did not have a valid credit card for incidentals. His billing address and phone number were provided and he acknowledged the charges on March 12, 2023.

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Samantha Duff
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100% found this document useful (2 votes)
4K views1 page

Credit Card Authorization Form for AD1 Hotels Fort Myers

Joseph Zimmer authorized AD1 Hotels Fort Myers, Candlewood Suites Fort Myers Sanibel Gateway to charge his credit card for the reservation of Francisco Lopez from March 12, 2023 to March 13, 2023. He circled that room, tax, and incidental charges would be charged to the card and that the guest did not have a valid credit card for incidentals. His billing address and phone number were provided and he acknowledged the charges on March 12, 2023.

Uploaded by

Samantha Duff
Copyright
© © All Rights Reserved
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

9740 Commerce Center Ct, Fort Myers FL 33908

Credit Card Authorization


Joseph Zimmer
In Lieu of my credit card imprint I, ______________________________________, hereby authorize
AD1 Hotels Fort Myers, Candlewood Suites Fort Myers Sanibel Gateway to charge my credit card
in the moment that the Fax Authorization is received.

4270880093620904
_________________________ 01/27
- _______ Elite pool construction llc
_______________________
(Credit Card Number) (Exp. Date) (Company Name)
Francisco Lopez
_______________________________ _____________________________
(Guest Name) (Confirmation Number)

03/12/2023
_______________________________ 03/13/2023
_____________________________
(Arriving Date) (Departure Date)

Circle One of the following:

A) Room & Tax Only***requires Credit card from guest at check in for incidentals

B) Room, Tax and Incidental Charges (restaurant charges, damages, etc)

Circle One of the following:

Will the guest(s) have a valid credit card in their name available for incidentals at check-in?

YES or NO ***If NO the hotel requires a valid Credit card from guest for incidentals***

I authorize guest to extend reservation past departure date noted above YES or NO

My billing address is: __________________________________________________________________


611 NW 20th st (Street Address)
Cape Coral Fl 33993
2392661275
_____________________________________________________Phone :(_____)_________________.
(City, State, Zip Code)

By signing below, I acknowledge charges describe herein,

_________________________________________ 03/12/2023
Date:_______________
(Signature of Cardholder )

*****Please provide a clear photocopy of the Credit Card (Front and Back) and the cardholder’s
driver’s license with this form. This Form must be receive at least 24 hours prior to arrival. *****

****Please fax this form back to (239) 432-1735 or email it to print@ftmyerscandlewood.com****

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