大來飯店delighthotel
【 信用卡授權書 / Credit Card Authorization Letter 】

ATM or 匯款
You may also print out credit card billing/payment copy and fax it to us after filling it out.
Land Bank Of Taiwan Shi-Hu Branch土地銀行西湖分行(005)
戶名 Account Name:Delight Hotel 大來商旅 ( 股 ) 公司
帳號 : ACCOUNT NO: 120-001-000930
匯款成功後請來電 OR E-mail 告知後五碼 . 若刷卡，可列印信用卡單

本人因無法親自到達台北大來飯店刷卡結帳，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。鑑於台北大來飯店同意上述之安排，本人同意不會取消此授權，並同意台北大來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 delighthotel 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 delighthotel to contact the credit card issuing bank as detailed below for the purpose or verifying the information contained in this letter.

大來飯店delighthotel
TEL:+886-2- 2716-0011 FAX:+886-2- 2713-2008
【 台北市長春路432號 No. 432 Changchun Rd. Taipei, Taiwan 】
確認授權內容 Details of this authorization
住客姓名/公司名稱
Guest/Company Name
訂房代號
Reservation No.:
抵達日期
Arrival Date:
年 月 日
退房日期
Departure Date:
年 月 日
房型
Room Type:
數量
Qty:
金額
Total Amount:
NTD
統一編號
Company Registration No.:
發票郵寄地址
Invoice Address:
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:
年 月
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（02） 2713-2008 （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 （02）2713-2008（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.


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