REQUEST FOR SIGN ON FILE
I hereby authorize: Nordic Choice Hotels
TO CHARGE THE FOLLOWING CREDIT CARD
Company name: ……………………………… Phone number:…………………………………………
Fax. number: …………………………………. Guest name:..............................................
Hotel: …………………………………………………………………………………………………………………….
Arrival date: …………………………………Reservation number: …………………………………….
Credit Card owners name in block letters
: ………………………………………………….
Signature: ……………………………………………………………………………………………………………..
Date: ……………………………
Type of Card (Ex. VISA):…………………………………………………………………………………………
Credit Card number: ……………………………………………………………………………………………..
Valid thru (Mth/Year): …………………………………………………………………………………………..
FOR
Accommodation only
Accommodation & Breakfast
All charges incurred
Other………………………………………………………………………………………………………….
…………………………………………………..………………………………………………………..…………………
The above credit card will be used to pay for the charges specified above on this occasion only.
ATTACHMENTS, TERMS AND CONDITIONS
Please attach a copy of the Credit Cards front and back, as well as a copy of the Cardholders ID.
Hereby I authorize Nordic Choice Hotels to charge my credit card according to above.
Date:__________________________________________
Company:______________________________________
Signature: ____________________________________