To : Comfort Lodge Hong Kong


Authorization to Charge Credit Card

Please complete and return by email or fax to: +852 2314 9198; +852 2367 8366

Date : _________________
I____________________________________ (cardholder only), hereby authorize Comfort Lodge Hong Kong or its agent to charge my VISA* / MC* / AMEX* / JCB* credit card in the amount of :
[ ]

For Daily Stay Only

1st Night's Room Charge, that is ( USD/HKD ________________ ) for securing the room(s) as specified in my/our reservation form as well as in the event of my/our 'No Show' or 'Cancellation' with pre-advice of less than 48 hours Hong Kong time.
[ ]
For Monthly Stay Only

HK$1000 down payment for securing the room(s) as specified in my/our reservation form as well as in the event of my/our 'No Show' or 'Cancellation' with pre-advice of less than 15 calendar days Hong Kong time.
I further agree to pay the above amounts in order to guarantee my reservation and the room charges for my stay.
Cardholder Name as appeared on credit card____________________________
Credit Card Account Number _________________________________________
Expiration Date____________ 3-digit Credit Card ID Number ______________
Remarks (check-in date, etc.)_________________________________________


Cardholder Signature______________________________________________
(To be signed by the cardholder only; same effect without signature)
Note : Images (the lightest resolution) of the front and back sides of the captioned credit card appended herewith
* delete not applicable
Thank you for your execution!