Hotel Credit Card Authorization Form

Name(Required)

First Name Last Name

I hereby authorize The Art INN Seattle to collect payment for the following guest

Guest Name(Required)

First Last

and their hotel charges in association with:

Check all that apply(Required)

Hotel Room, Tax(es), and Fee(s)

All Incidentals

Email(Required)

Enter Email Confirm Email

Credit Card Number(Required)

Exipration date(Required)

MM slash DD slash YYYY

Please upload your ID photo (Passport or Driver License)(Required)

Max. file size: 256 MB.

Please upload front of the Credit Card(Required)

Max. file size: 256 MB.

Signature(Required)

hCaptcha(Required)