KIMPTON’ hotels & restaurants CREDIT CARD AUTHORIZATION L Antti Ruohonen , hereby authorize the Surfcomber, a Kimpton Hotel, to process the following credit card: Group Name: ABB Meeting Contact Name: Antti Ruohonen Name on Credit Card (if different from above): Credit Card Number: Expiration Date: Billing Address: City/State/Zip: Daytime Phone Number: Email Address: Authorized Signature: Please Indicate Billing Instructions: (Check all that apply) [Room and Tax Only UO Daily Resort Fee of $24 (including tax) (Advance Deposit of $ CBanaquets (CAudio Visual Only Diincidentals Only Lother (please specify): ** Please note that if a different form of valid payment is not received at time of check-in, all charges will be applied to the above credit card.** Please complete this form and fax to the Surfcomber Front Desk at 305-532-7280. Please Include a copy of the cardholder's ID. EFTA00305400