📄 Extracted Text (192 words)
CORONADO BAY
Loews Coronado Bay Hotel
Credit Card Authorization Form
I hereby authorize the Loews Coronado Bay Hotel to charge my credit card for the following:
O Room & Tax
▪ Room, Tax, Food & Beverage
El All Charges
• Other (please specify amount to be charged)
E-Mail Address of Cardholder
Address: 9 East 71st Street, NY, NY 10021
Telephone Number (Day): (Night): same
Name of Guest(s):
Reservation Confirmation Number:
Arrival: 06.15.19 Departure: 06.17.19 Rate: $289.00
• Please be advised that your credit card will be charged in full upon receipt of this form.
• Cancellation must be made before 4:00 pm local time, 24 hours prior to avoid being charged one night's
room and tax. Please remember to obtain a cancellation number. No refund will be issued without a
cancellation confirmation number.
• Inquiries can be made at [email protected] or by calling 615-340-2010. For
security reasons we are not able to receive emailed copies of credit card authorization forms.
oq; fy Giostein
Card Holder's Signature: isera Date: 06/10/ 2019
**** **** ** * *
5006
APPROVED 6 /10 / 20 9
LO EWS
HOTELS
Doc ID: 20190610135152278
seam Electronic Signature
EFTA00305745
ℹ️ Document Details
SHA-256
3a3992f45735a1999f17e2ade187f70b49a8d9e9f2ed9834f2f03f279733cd93
Bates Number
EFTA00305745
Dataset
DataSet-9
Document Type
document
Pages
1
Comments 0