CORONADO BAY Loews Coronado Bay Hotel Credit Card Authorization Form | hereby authorize the Loews Coronado Bay Hotel to charge my credit card for the following: O Room & Tax [_] Room, Tax, Food & Beverage [V) All Charges oO Other (please specify amount to be charged) Telephone Number (Day) a (Night): S€M@ Reservation Confirmation Number: a a Arrival: 06.15.19 Departure: 06.17.19 Rate: $289.00 e Please be advised that your credit card will be charged in full upon receipt of this form. ¢ Cancellation must be made before 4:00 pm local time, 24 hours prior to avoid being charged one night's room and tax. Please remember to obtain a cancellation number. No refund will be issued without a cancellation confirmation number. « Inquiries can be made at authorizations@loewshotels.com or by calling 615-340-2010. For security reasons we are not able to receive emailed copies of credit card authorization forms. Tfrey c. Cpstein Card Holder's Signature: —= apenas Date: 96/10/2019 EPSTEIN LOEWS HOTELS Doc ID: 20190610135152278 Sertifi Electronic Signature EFTA00305745