Credit Card Authorization — Travel Inn of Buford

1 — Stay Details Confirmation / Folio #: —

I confirm the stay details listed above are correct and authorize Travel Inn of Buford to charge the card provided for these amounts.

2 — Cardholder Information

Cards Accepted

VISA MC AMEX DISC

Individual (personal card) Corporate Account

Name as it appears on card *

Company name (if corporate card)

Card Number *

Expiration *

CVV *

Billing Address *

City *

State *

ZIP *

Phone *

Alternate / Fax

Email *

3 — Guest Information

Guest Type

Individual Group / Organization

Relation to Cardholder

Relative Friend Co-Worker

Name of Person Checking In *

Guest Phone

Alternate

Guest Email

Confirmation #

4 — Authorization & Agreement

Please note: Legible copies of the cardholder's government-issued photo ID and a selfie photo are required for identity verification. We will not check in the guest without this documentation on file.

If we are unable to obtain a valid personal charge card (for the incidentals deposit) from the guest(s) checking in, the above account will be authorized for the room charges plus a deposit of $50–$100/room to cover incidental charges, including damage to, or missing hotel property caused by the guest or the guest's associates. The deposit will be released/refunded upon check out if no incidental charges have been incurred.

With your signature below, you certify that you are the primary cardholder and signatory for the account listed above, and further agree that this is a binding agreement for full payment for the above specified charges as well as any incidental charges that arise as a result of the guest's stay. Please note that debit card funds are on hold immediately and any adjustments or credits may take up to 15 days to appear on your account.

Standing Authorization for Future Stays Optional

By initialing below, I authorize Travel Inn of Buford to charge the card listed above for future stays by the guest(s) named in this authorization, without requiring a new authorization form for each stay, subject to the following conditions:

Each charge will be for room, tax, and incidental amounts consistent with the rates and terms disclosed on this form or communicated in advance
This standing authorization remains valid for from the date signed, or until revoked in writing
I may revoke this authorization at any time by contacting the hotel in writing
A record of each charge will be emailed to the address provided on this form

Cardholder Initials (to activate standing authorization) Leave blank to decline standing authorization

I have read, understand, and agree to the authorization terms stated above. I certify that I am the authorized cardholder for the account listed above.

5 — Identity Verification

To protect against unauthorized use, we require the following documents. Your information is processed securely and never stored on our servers.

Complete Verification on Your Phone

Scan the QR code with your phone's camera to capture your ID, selfie, and card photo. Images will appear automatically on this page.

○Government-issued photo ID (front & back)

○Selfie photo

○Card photo (front & back)

⏱ Verification session expires in 15:00

Point your phone camera at this code

6 — Cardholder Signature

Signature *

Sign with your mouse, touchpad, or finger

Cardholder Name (Print) *

Date

Time

IP Address (recorded)

Detecting...

By clicking Submit, you confirm all information is accurate and agree to the authorization terms stated above. A copy of this form will be emailed to you.

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Travel Inn of Buford

Authorization Complete