Third-Party Credit Card Authorization

For a cardholder authorizing charges on behalf of a guest who is not present. Please complete every section and return to the front desk prior to arrival.

Cardholder

Cardholder name (as on card)

Phone

Cardholder billing address

Guest & reservation

Guest name (staying at hotel)

Confirmation no.

Check-in

Check-out

Charges I authorize — check all that apply

Room & tax Incidentals Dining Spa All charges

Card details

Card number — provided securely

•••• •••• •••• •••• Verified securely by our front desk — never recorded on this form

Card type

Last 4 digits

Expiration (MM/YY)

Charge limit (optional)

Authorization

Cardholder Authorization

I authorize The Almont Hotel to charge my credit card identified above for the room, taxes, and the charges I have selected for the guest and reservation named above, up to any limit indicated. I certify that I am the lawful holder of this card.

I understand this authorization applies to the stated reservation, that I remain responsible for charges incurred under it, and that I may revoke it in writing before arrival. Should the card be declined, the guest will be responsible for settlement at the hotel.

I have read and agree to this credit card authorization.

Cardholder signature

Date

THE ALMONT HOTEL & RESIDENCES · A copy of the cardholder's photo ID may be requested. This form is held in strict confidence.