Credit Card Authorization Form

Posh Hospitality Group Hotel Credit Card Authorization

* Indicates required field

Hotel *

Cardholder Information

Name on Credit Card *

Cardholder Phone Number *

Company Name *

Credit Card Type *

Cardholder Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Credit Card Number *

Expiration Date *

Security Code *

Guest Information

Confirmation # *

Guest Phone # *

Guest Names *

Arrival Date *

Departure Date *

I certify that all information is complete and accurate. I understand that I am responsible for all agreed upon charges and/or damages incurred on this account. If any changes need to be made to this form I am responsible for notifying this above mentioned hotel and filling out a new authorization form. I certify that I am the authorized signer of the credit card listed above. Cardholder Signature *

Submit