富濠飯店 FU-HAU HOTEL
【 信用卡授權書 / Credit Card Authorization Letter

本人因無法親自到達台北 富濠飯店 刷卡結帳,特立此書,請在以下信用卡帳號收取所有保證金、預付或帳單款項。鑑於台北 富濠飯店 同意上述之安排,本人同意不會取消此授權,並同意台北 富濠飯店 可聯絡發卡銀行以下列信用卡所有人提供與核對此授權之資料。
I hereby agree to pay fu-hau hotel with my credit card issuing this letter of authorization. Please charge the following credit card account for all deposit, advance payments or room bills. I agree not to revoke the above authorization and further agree to authorize fu-hau hotel to contact the credit card issuing bank as detailed below for the purpose or verifying the information contained in this letter ..

富濠飯店 FU-HAU HOTEL
TEL: +886 (2) 2325-0722 FAX: +886 (2) 2702-8630
【 106 台北市大安區復興南路二段 9 號 No.9, Sec.2,Fusing S.Rd., Da-an District, Taipei City 106, Taiwan (R.O.C.) 】


確認授權內容 Details of this authorization
住客姓名/公司名稱
Guest/Company Name
抵達日期
Arrival Date:
退房日期
Departure Date:
房型
Room Type:
數量
Qty:
金額
Total Amount:
NTD
統一編號
Company Registration No.:
信用卡帳號資料
Credit Card Account Details
VISA MASTER CARD JCB
信用卡號碼
Credit Card No.:
- - -
信用卡有效期限
Credit Card Expiry Date:
持卡人姓名
Credit Card Holder Name:
聯絡電話
Contact No.:
傳真電話
Fax No.:


持卡人簽名 Credit Card Holder Signature:

(須與信用卡上之簽名相同 same signature as appears on the credit card)

請填寫此授權書並將此授權書回傳至 FAX: +886 (2) 2702-8630 (訂房部)
Please fill up and fax back this authorization letter with a photocopy of above credit card ( both the front and back of the card ) to FAX: +886 (2) 2702-8630 (Front office)

如有任何需求,請與我們聯絡,我們將盡快為您服務。
Should you have any enquiries, please contact us and we will happy to provide any assistance.


列印本頁 print