®
2301
Decker Drive (SPUR 330), Baytown TX 77520
(281) 422-3641 FAX (281) 422-0183 Visit us at www.baysinn.com for more info!
|
CREDIT CARD FAX / SCAN AUTHORIZATION FORM |
I,
__________________________________,
To
charge my credit card in the amount of $
+
17% hotel occupancy tax for
the following (Check One) :
NOTE: Please check rates/availability before proceeding
|
King (1 King Bed) 1 or 2 Persons |
|
$52 per Night |
|
|
$ per Week |
|
King Mini Suite (1 King Bed) 1 or 2 Persons |
|
$68 per Night |
|
|
$ per Week |
|
Jacuzzi
Suite (1 King Bed) 1 or 2 Persons |
|
$130 per Night |
|
|
N/A |
|
Double (2 Full XL Beds) up to 4 Persons |
|
$58 per Night |
|
|
$ per Week |
|
Double Mini Suite (2 Full XL Beds) up to 4 Persons |
|
$68 per Night |
|
|
$ per Week |
Name
as it appears on credit card:
|
Three digit (Visa/MC) or Four digit (AMEX) security number ____________ (See
example to the right) |
|
My
credit card number is:
Expiration
date:
The billing address for this credit card is:
City, State and Zip: Telephone number:
Guest
name is:
Date
of Arrival:
Date of Departure:
|
A
fax / scan photocopy of this authorization shall be as valid as the original. |
|
Guests
using this authorization must present proper photo ID upon check-in |
|
NOTE: Credit Card will be charged and is NON REFUNDABLE. |
Signature
of credit card holder:
|
Date:
|
|
FAX form back to (281) 422-0183 or SCAN and email to info@baysinn.com |
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