A TROPICAL
INN
CREDIT
CARD AUTHORIZATION FORM
We
Accept Visa and Mastercard
Date:
________________
I, _____________________________________________, (Please PRINT name as it appears on card) have read the reservation policy of the hotel and accept its conditions and here by authorize cabinas los manglares s. a. To Charge my _______________________________________________
Credit Card Type: Visa______ Martercard ______
Credit
Card Number: __________________________
Complete Expiration
Date: _________________
In
the Amount of: $_____________
I
agree to pay the amount here authorized, even though I have not signed the
original charge note or voucher.
Date
of Birth: _______________
Passport Number:_____________________
Check one: Hotel
Reservation _______
Domestic Flight _______
Signature:
__________________________________________________________________
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