HYATT HOTELS CREDIT CARD AUTHORIZATION FORM
Individual/Business/Group or Event Name:
Reservation Confirmation Number:
Arrival or Event Date(s):
Room & Tax
Food & Beverage
All Incidentals
Only Specific Incidentals
All Banquet Charges
Gift Certificate
Guest Amenity
I hereby authorize the following charges to be applied to the following credit card.
Check all that apply:
Credit Card Billing Address:
City / State / Zip / Country:
Please fax this completed form to:
Comments:
Credit Card Number:
Expiration Date: Cardholder Phone #:
Signature of Card Holder:
Hotel:
Hotel Fax #:
Current Date
Resort Services Fee Parking
Contact Phone Number:
I hereby authorize the following amount be applied to the
credit card (applicable sales tax and service charges may apply):
For a list of all hotels and their contact information, please visit:
http://www.hyatt.com/hyatt/site-map.jsp
All information is kept confidential and used only for the purposes as noted above.
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Other - see comments
Name on Card:
The credit card listed below may be billed for the estimated charges Ten (10) days prior to event/reservation date.
Please transmit this form at least 72 hours prior to your planned arrival in order to ensure your request is processed.
All Stay Charges
Contact Email Address:
By submitting this form and any supporting documents, I confirm that I have read and agreed to the use of the personal information
I am giving you in accordance with your Global Privacy Policy for Guests, which is available at privacy.hyatt.com
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