credit card authorization

CREDIT CARD GUARANTEE FOR RESERVATIONS

This is to confirm my reservation under the name of

First Name

Last Name

Reservation date:

MM

DD

YYYY

Reservation Time

Hour

Minute

Second

Number of persons:

Type of credit card:

visa

mastercard

amex

Cardholder Name:

Credit Card Number:

Expiry Date:

(mm/yy)

CVV2 (3 digits on back of VISA/MC, 4 digits on front of AMEX

Billing address:

(Street, City, State, P.O. Box/Zip)

Phone number:

Country

(###)

###

####

Email

Date

MM

DD

YYYY