COMFORT INN & SUITES
1905 John Fries Highway
Quakertown, PA 18951
Ph: 215.538.3000 Fax: 215.538.2311
Email: [email protected]
Credit Card Authorization Form
Attn: _________________________________ _______ |
Fax #____________________ |
Fax Date: _____________________________________ |
|
Name of Guest _________________________________ |
|
Confirmation # _________________________________ |
Date of Arrival _____________ |
Length of Stay _________________________________
Type of Room _________________________________
i.e. Smoking/Non-smoking, Double, King, Suite
Name of Company: ____________________________________________________________
Address of Company: __________________________________________________________
Telephone ___________________________________________________________________
The information of the credit card below is the card that will be used for charges: Please select one of the following options:
Room & Tax ONLY: |
Y |
N |
All Charges (Room and Telephone charges) |
Y |
N |
Type of Credit Card: Visa MasterCard Discover |
American Express Diner’s Club |
**For Direct Billing, an account must be set up with the hotel in advance
Credit Card #_____________________________Exp Date ____/____ Security Code _______
Name on the card as printed _____________________________________________________
Billing address on card _________________________________________________________
________________________________________________________
Authorizing Signature (must match card) ___________________________________________
***A readable photocopy of the front AND back of the credit card being used MUST be included with the information above. Without a photocopy, the guest cannot check in.