Print
Credit Card
Credit Card
Authorization
I, give permission for Palm Spring Suites to charge my credit card for
charges
below.
I also acknowledge and fully understood the cancellation policies of the hotel.
Company Name (Optional)
Street Address
CITY, STATE, ZIP
VISA
AMERICAN EXPRESS
MASTERCARD
DISCOVER
Credit Card Number
Name on the Credit Card
Expiration Date (MM/YYYY)
Name of individual in room:
ARRIVAL DATE
NUMBER OF NIGHTS
Please select the type of service to be charged:
Room & Tax
Deposit
All Charges
authorized signature
Date
Phone
Email
NOTE
Please include a front & back copy of the credit card & driver licence along with this signed authorization form.
Fax: (408) 940-6630Email: [email protected]