Credit Card Authorization

Loading authorization form…

⚠

Unable to Load Form

This authorization link is invalid or has expired. Please contact the hotel for a new link.

Hotel

🔒 Secure Credit Card Authorization

1

Auth Scope

2

Card & Contact

3

Review & Sign

Authorization Scope

Define the scope, duration, and guests for this authorization

Relationship to Guest

Please explain your relationship *

Authorization Validity

📅 For blanket corporate authorizations, use a wide date range covering all expected stays

Auth Valid From *

Auth Valid To *

Number of Rooms *

Authorized Guests

Authorized Charges

Card & Contact Details

Your card information is encrypted end-to-end

CARD

•••• •••• •••• ••••

Card Holder FULL NAME

Expires MM/YY

🔒 AES-256-GCM Encrypted ✓ End-to-end secured 🛡 TLS in transit ⚑ PCI-DSS compliant handling

Your card number is never stored in plain text. Card data is encrypted with AES-256-GCM before leaving your device. CVV is never retained after processing.

Card Information

Card Number *

Name on Card *

Expiry Date *

CVV / CVC *

3 digits on back (4 for Amex on front)

Company (optional)

Billing Address (USA)

Street Address *

Apt / Suite (optional)

City *

State *

ZIP Code *

Contact Details

Email Address *

Phone Number *

US numbers only — auto-formats to +1 (xxx) xxx-xxxx

Review & Sign

Review the authorization terms and provide your signature

Authorization Terms

I, —, authorize the hotel to charge my card ending in •••• for charges incurred from — to —, for — room(s), for the following authorized guests: —. Authorized charges include: —.

I confirm all information provided is accurate and I am authorized to use this card.

I authorize the hotel to charge the above card for all applicable charges during the authorization period.

I have read and agree to the hotel's terms, cancellation policy, and any applicable incidental charges.

Special Instructions (optional)

Signature

Sign here with mouse or finger

By signing, you confirm your identity and authorize all charges above.

✓

Authorization Submitted

Thank you. Your credit card authorization has been received securely. The hotel team will review and confirm.