FOUR SEASONS HOTEL weotve “PRESTIGE ROOM THIRD PARTY AUTHORIZATION FORM FOR PAYMENT BY CREDIT CARD 1 : EFreRe EpSre inl authorize The Four Seasons Hotel to charge my card for the reservation of Kae YWASHULIAK staying with us from PEC | to DEC. | , confirmation number is a case of extension —1 wish to take in NO, if YES unsil what date Pye lease encircle clearly below which charges you wish to cover: Room: YES of NO Transfers YES or NO City Tax (2.50€ per adult per night) YES or NO Mini-bar & Telephone: YES or NO Breakfast; YES or NO Miscellaneous: YES or NO Pull Expenses: (£83peNO Other expenses (please specify which): EVERNT HG ; Card Holders Signature: Sa ‘Type of Credit Card: . ey? Credit Card Number (last 4 digits only): 4oo 5 Expiry Date: G/S1 a Facsimile Number: Billing Address: = ST WE \ 0o>| If you are a travel agency, please fill-in the following: Are you taking in charge the above? YES or NO Travel Agency name: Your IATA Number: PLEASE FORWARD A CLEAR COPY OF THE FRONT OF YOUR CREDIT CARD and of THE IDENTITY CARD OR PASSPORT of the credit card HOLDER FAILURE TO PROVIDE THE ABOVE INFORMATION PRIOR TO GUESTS ARRIVAL WILL FORFEIT THE USB OF THIRD PARTY PAYMENT AND GUESTS WILL BE ASKED FOR AN ALTERNATIVE METHOD OF PAYMENT ON ARRIVAL. EFTA00313955