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Credit Card Payment Authorization Template 1

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Credit Card Payment Authorization Template 1
Credit Card Payment Authorization Template 1
CREDIT CARD PAYMENT AUTHORIZATION
I, _______________________, hereby authorize the Five Sails Restaurant to charge all
expenses incurred as indicated to the following credit card.
NAME ON CREDIT CARD:
COMPANY NAME:
CARD TYPE AND NUMBER:
EXPIRY DATE:
AUTHORIZED SIGNATURE: DATE:
RESERVATION DATE:
_____ All Charges
_____ Food
_____ Beverage
_____ Deposit ______________
*Please refer to cancellation guidelines
_____ Gift Certificate _______________________________
* Please note that gift certificates are not redeemable for cash/credit
#410 – 999 Canada Place
Vancouver, BC Canada V6C 3E1
T: 604-844-2855 F: 604-682-6321
www.fivesails.ca email: [email protected]
Credit Card Payment Authorization Template 1