CREDIT CARD BILLING AUTHORIZATION FORM

BOOKING ID:

CHARGES TO BE BILLED (please indicate by marking an X in the appropriate boxes below)

[ ] ROOM CHANGES [ ] BREAKFAST

[ ] DATE CHANGES [ ] FREE CANCELLATION

[ ] EXTENTION STAY S

[ ] Description: _________________________________________________________________________________________

CARD HOLDER INFORMATION

CARD NUMBER: ________________________________________________CVV_______ EXPIRATION DATE: __________________

NAME AS IT APPEARS ON CARD: ___________________________________________________________________________________

CARD BILLING ADDRESS: _________________________________________________________________________________________

CITY: __________________________________________ STATE AND ZIP CODE:________________________________________

TELEPHONE:____________________________________ EMAIL: _______________________________________________________

I HEREBY AUTHORIZE ZEN eServices PTE Ltd TO USE THE CREDIT CARD INFORMATION PROVIDED ON THIS FORM EITHER AS A GUARANTEE OR AS PAYMENT FOR THE
CHARGES DESCRIBED ABOVE. SUPPORTING DOCUMENTATION* WILL ACCOMPANY ALL CHARGES. BY SIGNING BELOW I AGREE TO PAY MY CREDIT CARD ISSUER FOR
THE CHARGES AGREED TO ABOVE IN ACCORDANCE WITH MY CARDHOLDER AGREEMENT.

*Please send us a scanned copy of the front and back of credit card along with this authorization.

CARD HOLDER’S SIGNATURE: _____________________________________________ DATE SIGNED: ______________________