re MONACO > CREDIT CARD AUTHORIZATION FORM Arrival & Departure Dates: Du NE 30- Q3 Confirmation Number: hit Cardholder Name: es bo Arm " ‘ JEFFREY ECSTE ial G CAST ST STRce Cardholder Address: 4 CAS ae 2 STREET NN ANY 1} 003) > “**Last 4 Digits of Credit on ii Type: Me 3 By signing this authorization form, I am granting permission The Hotel Monaco- WDC to charge the above-mentioned credit card for the following charges, including any cancellation or no-show fees that may become applicable: (Check all that apply) : _Room and Tax Only Incidentals (phone calls, room service, etc) VW All Room, Tax, and Incidental Charges ———_Other--Please- Specify CARDHO! DER SIGNATURE DATE **“For your protection please note that a representative from The Hotel Monaco-WDC will contact you for the full credit card information once this authorization is received. Phone: (202) 628-7177 www. monaco-de.com Fax: (202) 628-7277 EFTA00313891