Hotel Credit Card Authorization Form Lisbon
Name
(Required)
First Name
Last Name
I hereby authorize The Art INN Seattle to collect payment for:
(Required)
Myself
Someone else
Guest Name
(Required)
First
Last
and their hotel charges in association with:
Check all that apply
(Required)
Hotel Room, Tax(es), and Fee(s)
All Incidentals
Email
(Required)
Enter Email
Confirm Email
Credit Card Number
(Required)
Expiration date - Month
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
Year
(Required)
2022
2023
2024
2025
2026
2027
2028
2029
2030
Please upload your ID photo (Passport or Driver License)
(Required)
Max. file size: 256 MB.
In order to complete the verification process, we kindly ask that you upload the side of your credit card that displays your name
(Required)
Max. file size: 256 MB.
Signature
(Required)
hCaptcha
(Required)