Red Carpet Inn & Suites

353 Lewis Berry RD. New Cumberland, PA  17070, Tel: 717 774 1310

Credit Card Authorization Form

This form serves as a credit card authorization receipt for Red Carpet Inn & Suites.  By signing this document the customer gives full authorization to Red Carpet Inn & Suites to charge for number of rooms rented and any other phone charges that may occur to a specified credit card that will not be present at the time of check-in.  A photocopy of front and back of a credit card is required, with a valid photo ID of the customer.  Please attach a legible copy to this document and fax it to the number listed above in a timely manner.  Guest will not be permitted to check-in without prior authorization of this document.

Company Name: ___________________________________________________________

Telephone No: (         ) ______ - __________                  Fax No: (         ) ______ - __________

Cardholder’s Name: _________________________________________________________

Guest Name: ______________________________________________________________

Credit Card No: _______ - _______ - _______ - _______       Expiry Date: _____ / ________

Billing Address: __________________________________________________________

City: _____________________________          State: _______         Zip: _________

No of Nights: ________                   No of Guests: ________                  Rate / Day $ __________

Confirmation No: _____________________________             Arrival Time: _________

Name: _____________________________                  Title: _________________

Signature: __________________________                   Date: _________________

Cancellation Policy:

24 hours cancellation notice is required prior to the arrival date by 3:00 pm.  Otherwise a charge will be processed to the credit card listed above for the first night at full rate.