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Credit Card Authorization Form

This document authorizes Yashail Hotel Haridwar to charge Mr. Sanjeev's stay to Himanshu Thapliyal's credit card. It provides Mr. Sanjeev's arrival and departure dates as well as details for charging room costs, incidentals, and meeting room rental to the card. Himanshu Thapliyal's credit card number, expiration date, name, signature, address, phone number and email are included to process payment. The terms require submitting the form 48 hours before arrival and allow the hotel to charge the guest directly if payment cannot be processed or the contact cannot be reached.

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Vishal Kumar
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428 views2 pages

Credit Card Authorization Form

This document authorizes Yashail Hotel Haridwar to charge Mr. Sanjeev's stay to Himanshu Thapliyal's credit card. It provides Mr. Sanjeev's arrival and departure dates as well as details for charging room costs, incidentals, and meeting room rental to the card. Himanshu Thapliyal's credit card number, expiration date, name, signature, address, phone number and email are included to process payment. The terms require submitting the form 48 hours before arrival and allow the hotel to charge the guest directly if payment cannot be processed or the contact cannot be reached.

Uploaded by

Vishal Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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I hereby authorize Yashail Hotel Haridwar to charge my credit card for the stay of

Guest Name: ___Mr__SANJEEV_____________________________________


Arrival Date: __12-02-2023____________ Departure
Date: _____________

Please specify YES/NO for charges to be paid on the card.

Room Charges : ___________yes_______


Room + All Incidentals : ____________yes______
Meeting Room Rental : _____yes_____________
Other (Please specify) : ______yes____________

Credit Card Holder’s details

Credit Card number : ________Himanshu Thapliyal______________________________________


Expiry Date : __________09/29_____
Type of Card : Amex/Visa/Master/Diners/JCB

Name : ____Himanshu Thapliyal__________________________________________

Signature : ________himanshu thapliyal___________________ (Same as on the reverse of the


card)
Telephone Number : _____9717807164______________________
Billing Address : _____Rz D 1/289 street no 5, Mahavir Enclave New Delhi
110045________________________________________________________________
E – Mail :
___himanshuthapliyal7@gmail.com___________________________________________

Please fill the above details and also attach the legible copy of the credit card, both front and back of the credit
card. We ask that both the account number and credit card signature, be clear.

Terms and Conditions


 In order to process the payment to the credit card, please submit this form 48 hours prior to the arrival date of the guest.
 In the event that Radisson Blu Haridwar cannot process the payment and the point of contact on the above form cannot to
contacted, your hotel guest will be charged directly upon departure.
 Radisson Blu Haridwar reserves the right to reject any incomplete forms.
 All other hotel policies remain the same and would be applicable.
Yashail Hotel Haridwar
Plot No. 12, SIDCUL Haridwar-249403, India; Phone: + 91 1334-665400; E-mail:reservations@rdharidwar.com

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