Thank you for choosing Mercure Hotels. We look forward to working with you at Mercure Holland House Hotel. Hotel Tel: 0117 9689872 Redcliffe Hill Direct Fax: 0117 9689866 Bristol E-mail: H6698- BS1 6SQ email@example.com United Kingdom Web: www.mercure.co.uk Dear Customer, Please complete the attached credit card authorisation form in order for us to charge your credit / debit card in absence of the cardholder. I, (credit card holder’s name) Company/Personal credit card to be debited for the charges incurred by (guest’s name) on the (arrival date) until (departure date) / /0 / /0 These charges include: Room + VAT only Room + Breakfast + VAT Room + Dinner + Breakfast + VAT Full account including any extras Other please specify: My Credit Card details are as follows (please print all details): Credit Card Type: Credit Card No: Full Name on Card: Expiry Date: Valid From Date: Last three digits on the security strip: Please note: Only the person completing this form can authorise their own credit card to be used. Under no circumstances can a third party complete this form on behalf of the cardholder. The hotel will conduct authorisation in line with the expected expenditure of the guest(s). This will be completed 72 hours prior to arrival and also throughout the duration of the stay. All credit card transactions are also subject to a £2.00 administration fee. A copy of the front and back of the credit card is also required to validate the cardholder’s signature. Billing Details: Please provide the Mercure Holland House Hotel Bristol with the address, which you would like a copy of the bill to be sent: FAO: Address Line 1: Address Line 2: Address Line 3: Address Line 4: Postal Code: Contact Person: Contact Telephone Number: Contact us: Please fax back the credit card authorisation form on 01179 689 866. For all other queries please contact reservations on 01179 689 872 where a member of the team will be happy to help you.