DS9 Document EFTA00313891

i't • •Y- MONACO r CREDIT CARD AUTHORIZATION FORM Mut. ljpe or Finn. flemenuodhatitii Guest Name: Arrival & Departure Dates: ‘..) U NI e a - ;3 Confirmation Number: Cardholder Name: TCZ C--; PSTE- I id Cardholder Address: c c-Asi- -41ST STRUT kl`/ t IJO -L RS= Card Holder Phon Card Holder Fax: "**Last 4 Digits of Credit Card: Type: A j..A CY., By signing this authorization form, I am granting permission The Hotel Monaco- WDC to charge the above-mentioned credit card for the following charges, including any cancellation or no-show fees that may become applicable: (Check all that apply) Room and Tax Only Incidentals (phone calls, room service. ctc) / All Room, Tax, and Incidental Charges - Other-PI - 111/Ate Ig.r901? DATE ***For y protection please note that a representative from The Hotel Monaco-WDC will contact you for the full credit card information once this authorization is received. Phone: (202) 628-7177 www.monaco-dc.com Fax: (202) 628-7277 EFTA00313891