Scribd Logo
Upload

Welcome to Scribd!

  • 241 views

    Credit Card Authorization Form

    Uploaded by

    Mariam Nawabi
    This 3rd party credit card authorization form allows expenses incurred by guests to be charged to another person's credit card. It requests information about the cardholder and guest, including names, addresses, phone numbers, credit card details, dates of stay, and acceptance of charges. The form must be signed by both the cardholder and guest and provides for charges up to a specified amount. It aims to ensure prompt processing of applications while conforming to PCI security standards for payment card data.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Credit Card Authorization Form

    Uploaded by

    Mariam Nawabi
    241 views1 page
    This 3rd party credit card authorization form allows expenses incurred by guests to be charged to another person's credit card. It requests information about the cardholder and guest, including names, addresses, phone numbers, credit card details, dates of stay, and acceptance of charges. The form must be signed by both the cardholder and guest and provides for charges up to a specified amount. It aims to ensure prompt processing of applications while conforming to PCI security standards for payment card data.

    Original Title

    Credit_Card_authorization_form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This 3rd party credit card authorization form allows expenses incurred by guests to be charged to another person's credit card. It requests information about the cardholder and guest, including names, addresses, phone numbers, credit card details, dates of stay, and acceptance of charges. The form must be signed by both the cardholder and guest and provides for charges up to a specified amount. It aims to ensure prompt processing of applications while conforming to PCI security standards for payment card data.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    241 views1 page

    Credit Card Authorization Form

    Uploaded by

    Mariam Nawabi
    This 3rd party credit card authorization form allows expenses incurred by guests to be charged to another person's credit card. It requests information about the cardholder and guest, including names, addresses, phone numbers, credit card details, dates of stay, and acceptance of charges. The form must be signed by both the cardholder and guest and provides for charges up to a specified amount. It aims to ensure prompt processing of applications while conforming to PCI security standards for payment card data.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Third Party Credit Card Authorization Form

    This form has been created in order to allow you to have third party expenses charged to your credit/debit card. I understand that the hotel is not
    required to accept this form and the guest should check with the hotel to ensure they accept third part transactions (+39 0647091). Please
    provide all the information requested below to ensure prompt processing of your application. We ask you to please sign and date the form before
    submission. Please fax the completed form to the attention of ____________________________, The St. Regis Rome at +39 0642014201

    FOR SECURITY reasons, Marriott International conforms to all Payment Card Industry (PCI) standards.

    CARDHOLDER INFORMATION - Required


    Name as it appears on the credit/debit card:
    Card Type: Visa MC Amex Diners/CB Discover JCB
    Account Type: Individual - Debit / Credit Corporate - Company Name:
    Issuing Bank: Phone:
    Credit Number: Exp. Date:
    Address (statement):
    City, State, Zip:
    Phone Number: Fax or Alternate Number:

    GUEST INFORMATION - Required


    Guest Name:
    Address:
    City, State, Zip:
    Company:
    Phone Number: Fax or Alternate Number:
    Confirmation Number: Arrival Date: Departure Date:

    Relation to Cardholder: Relative Friend Business Associate Other

    I understand that should there be any issues with the credit/debit card being used to settle my charges, I will be responsible for all expenses incurred
    during my stay. Departure date cannot be extended unless a new authorization form is completed.

    Guest Name: (Printed)


    Guest Signature: Date:

    RATE INFORMATION AND APPROVED CHARGES - Required


    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 Telephone (LD) Telephone (Local) Restaurant
    Room Service Valet/Laundry Parking HS Internet Access Movies
    Other

    I certify that all information is complete and accurate. I hereby authorize The St. Regis Rome (Regis Hotels Management Italy srl) 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/debit
    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/debit card listed above.

    Cardholder Name: (Printed)

    Cardholder Signature: Date:

    Please do not send a photocopy of the front or back of your credit card.

    Marriott Confidential and Proprietary Information

    You might also like