Credit Card Authorization Form

Guest Name

Arrival Date

Address

Number Of Days

City

State

Zip Code

Phone

Driver License

Non Smoking Room Type - King, Double Queen, King Suite, Jacuzzi King Suite

King

Double Queen

King Suite

Jacuzzi King Suite

Company Information

Company Name

Contact Name

Address

City

State

Zip Code

Phone

Fax Number

I hereby authorize super 8 to charge my credit card as follows

Signature

Name On Card

Credit Card Type

Credit Card Number

Expiration Date

3 or 4 Digit CVV2 Number

Amount

Cancellation Policy -

If you need to cancel your room reservation, you must do so by 6:00 PM local hotel time night before your arrival date or your credit card will be charged for one night's stay

Please Fax this form to 814-768-7580 or super808124@gmail.com