CREDIT CARD AUTHORIZATION FORM

CREDIT CARD AUTHORIZATION FORM

This form must be FULLY completed.

Amount to be Charged: $____________________

1. Cardholder’s name as it appears on the credit card: ________________________________.

2. Cardholder’s billing address, including zip code:_____________________________________

3. Cardholder’s phone number: ____________________________________________________

4. Card Type: __________________________________________________________________

5. Credit Card No 6. Exp Date: ____________________________________________________

IS THE CARDHOLDER TRAVELING? Yes No

I ______ _______________________________ authorize Ritz Travel to charge my credit card for the above mentioned amount

for the hotel bookings.

Customer Signature Date

Thank you for your business.

Please fax or email this information and copies of both sides of the customer’s credit card and driver license as soon as possible. Keep
in mind that if we do not receive this information, we will not be able to obtain the approval code, therefore, payment will not be
applied, and booking may be canceled Thank you for your business.