CREDIT/DEBIT CARD AUTHORIZATION AND RESERVATION FORM
CARD HOLDER’S FULL NAME: ____________________________________________________________________________________________________________________
CARD NUMBER:
EXPIRATION DATE:
TYPE OF CARD:
GUEST’S FULL NAME: _____________________________________________________________________________________________________________________________ CHECK IN: _______________ / _______________ / __________________ MONTH
DAY
TOTAL OF GUESTS: TOTAL OF ROOMS:
YEAR
CHECK OUT: _______________ / _______________ / __________________ MONTH
TOTAL OF ADULTS SINGLES
DOUBLES
DAY
YEAR
TOTAL OF CHILDREN (under 11) TRIPLES
QUADRUPLES
OTHERS (SPECIFY): _________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________
TOTAL AMOUNT: USD $ ______________ TAXES INCLUDED.
RESERVATION AND/OR CANCELLATION POLICIES Reservation, cancellation or modifications with no charge 15 days prior to the visit, between 3 and 15 days there will be a charge of the 50% of the total amount and less than 3 days or No Show will be charged 100% over the total number of nights on the credit card indicated above, as well as if any of the objects or amenities of the hotel are damaged or gets lost (Towels, bedclothes, or any other facility). By signing this, I hereby accept the conditions described above and authorize the “Hotel & Restaurante Poco a Poco” to charge my card number the 100% of the total invoiced rack amount with 15 days in advance for pre-payments or if do not show or cancel the reservation at least 3 days before of arrival. I further acknowledge that I have understood the terms and conditions applicable to my travel reservation.
Name: __________________________________________________________________
Signature:____________________________________________
www.hotelpocoapoco.com / E-mail: info@hotelpocoapoco.com Tel: (506) 2645-6000 / Fax: (506) 2645-6264 / Toll Free: 1-8889-POCOAPOCO