CREDIT CARD AUTHORIZATION FORM | Hotek f | Hyatt Regency = individual/Business/Group or Event Name: _ _ Ose | Arrival or Event Date(s): | | | see f Chad tn Are Cyst aye Contact Phone Number: | |_| Contact Email Address: reservation will be subject to !hereby authorize the following charges to be applied to the following credit card. Check all that apply: —_ | °A vatid telephone number and email are required as we will need to contact you to confirm receipt. If we are unable to do so, your cancellation, ] Room & All Applicable Taxes DD Gift Certificate (All Stay Charges (DD Food & Beverage (C2) Only Specific incidentals ( AllBanquet Charges = Guest Amenity D All incidentals D Resort Services Fee LD Parking (D Other - see comments ' hereby authorize the following amount be applied to the credit card (applicable sales tax and service charges may apply): “In Australia: An additional service fee will apply to the total stay account when paying by AMEX, Diners and all other credit cards upon departure (excluding Park Hyatt Sydney), Refer to the hotel’s website for more details, Comments: “The credit card listed below may be billed for the estimated charges Ten (10) days prior to eventireservation date. * Room and tax on individual bookings will be charged 72 hours in advance. 52) Sy Submitting this form and any SuppORing do giving you in accordance with your Global Pr: olicy for Guests, which is available at Drivacy Myatt.com Please fax this completed form to: For a list of all hotels and their contact information, please visit: Hitpsy/www hyatt.com/hyatt/site-map jsp All information is kept confidential and used only for the purposes as noted above. ts | Confirm that | have read and agreed to the use of the personal information lam EFTA00314042