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Maxime Carriere (Done Rite Fire Protection Inc)

This document is a credit card authorization form for the Days Inn High Prairie hotel. It contains the contact information for the hotel and requests the credit card number, expiration date, billing address and signature of the card holder to authorize payment for hotel charges including room, tax, incidentals, laundry services, alcohol, meals and other charges. It also records the guest names, company name, dates of arrival and departure and contact information to send the receipt to upon checkout.

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Floyd McDermott
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We take content rights seriously. If you suspect this is your content, claim it here.
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282 views1 page

Maxime Carriere (Done Rite Fire Protection Inc)

This document is a credit card authorization form for the Days Inn High Prairie hotel. It contains the contact information for the hotel and requests the credit card number, expiration date, billing address and signature of the card holder to authorize payment for hotel charges including room, tax, incidentals, laundry services, alcohol, meals and other charges. It also records the guest names, company name, dates of arrival and departure and contact information to send the receipt to upon checkout.

Uploaded by

Floyd McDermott
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
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Days Inn High Prairie

Box 820 4125-52 Avenue


High Prairie, Alberta, T0G1E0
Phone: (780) 523-3050
Fax: (780) 523-3181
reservations@daysinnhp.ca

Credit Card Authorization Form


I hereby authorize Days Inn High Prairie to charges to be applied to the following credit card.

ON GOING ____________ yes


ONE TIME ONLY ____________

4536010017195904 (cvc 285)


VISA # __________________________________________ 11 22
EXP __________/___________

M/C # __________________________________________ EXP __________/___________

AMEX # _________________________________________ EXP __________/___________

Please check off all that apply.

Room, Tax & Incidentals___________ Laundry Services___________

Alcohol ___________ Charge Meals___________

Maxime Carriere (Done Rite Fire Protection Inc)


Name of Card Holder : ______________________________________________________

Signature of Card Holder :____________________________________________________

Please Photocopy front and back of credit card along with 2 pieces of photo ID and fax or
email to number/email provided.

Charles Bazerd, Revink Salih


Guest Name(s): ________________________________________________

Done Rite Fire Protection Inc


Company Name: ________________________________________________

Jannuary 25 2021
Date of Arrival: ________________________ Jannuary 29 2021
Date of Departure: _________________________

max.carriere@doneritefireprotection.com
At check out fax or email mail receipt to: __________________________Or give receipt to guest.

Please fax or email to the Days Inn High Prairie prior to guest arrival.

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