To : Rent-an-Apartment 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 Rent-an-Apartment Hong Kong or its agent to charge my VISA* / MC * / AMEX* 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!  
 

 

Print This Page