|
|||
|
|||
FAX THIS
FORM TO 202-347-3924 (OFFICE FAX) FOR FUTURE
DATE OR |
|||
GUEST'S NAME: | |||
CONFIRMATION NUMBER: | |||
CHECK-IN DATE: | |||
CHECK-OUT DATE: | |||
CARDHOLDER'S INFORMATION: | |||
NAME: | |||
CREDIT CARD NUMBER: | |||
CREDIT CARD EXPIRATION DATE: | |||
STREET ADDRESS: | |||
CITY: | |||
STATE: | |||
ZIP CODE: | |||
TELEPHONE NUMBER: | |||
OFFICE NUMBER: | |||
FAX NUMBER: | |||
EMAIL ADDRESS: | |||
The above mentioned cardholder authorizes the Hotel Harrington to bill the card for the following charges. Please check any/all charges to be included on credit card bill. |
|||
CARDHOLDER'S SIGNATURE: | |||
DATE: |