Comfort Inn & Suites Energy Corridor I-10 W
Standard Operating Policies and Procedures
Revised, May 2022
Credit Card Authorization Form
This form has been created in order to allow you to have third party expenses charged to your credit card. Please provide all the
information requested below to ensure prompt processing of your application. We ask you to please sign and date the form prior to
submission. Please fax the completed form to the front desk at (insert fax number). Along with this form we will need a copy of the
front and back of the credit card and a copy of photo identification with a signature matching the name on the card.
Cardholder Information
Name as it appears on the credit card: _____________________________________________________________________________
Card Type: Visa MasterCard American Express Diner’s Club/CB Discover
Account Type: Individual (personal credit card)
Corporate – If corporate, Enter Company Name ________________________________________________
Account Number: ___________________________________________________ Expiration Date: ___________________________
Address (Where statement is mailed): _____________________________________________________________________________
City, State, and Zip Code: ______________________________________________________________________________________
Phone Number: _______________________________________ Fax or Alternate Number: __________________________________
Guest Information
Guest Name: _________________________________________________________________________________________________
Company: ___________________________________________________________________________________________________
Phone Number: _______________________________________ Fax or Alternate Number: __________________________________
Confirmation Number: _________________________________________________________________________________________
Arrival Date: _________________________________________ Departure Date: __________________________________________
Relation to Cardholder: Relative Friend Business Associate Other: _____________________________________
Rate Information and Approved Charges
Room Rate:* ________________ Taxes:* _________________ Total Daily Rate:* _______________ Number of Nights: _________
*(Rate and Tax Amount must be provided by a hotel representative in order to complete this form)
All Charges Room & Tax Parking Long Distance Phone Pets
Rollaway Restaurant Market / Grocery Laundry/Dry Cleaning Movies
Other: ___________________________________________________________________________________________________
I certify that all information is complete and accurate. I hereby authorize (insert your hotel name and location here) to collect payment
for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to the credit
card listed above. Charges must not exceed ________________ for the entire stay/event. I understand that a new form will have to be
completed if guest wishes to extend his/her stay. I certify that I am the authorized signer of the credit card listed above.
Cardholder Name: (Printed) _________________________________________________________________________________
Cardholder Signature: ______________________________________________________ Date: _____________________
3.13 – Credit Card Authorization Form
