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Get Motel 6 & Studio 6 Credit Card Authorization Release Form 2010

Umber: Departure Date: TO BE COMPLETED BY AUTHORIZED CARDHOLDER Cardholder or Company Name: VISA * MASTERCARD * AMERICAN EXPRESS * JCB CARD * DISCOVER * DINERS/CARTE BLANCHE Credit Card Number: Billing Address: Cardholder’s Phone Number: Cardholder’s Fax Number: Cardholder’s Email Address: Expiration Date: I, (Name as it appears on card)_________________________ hereby authorize (guest staying at property) __________________________________ to charge the following to my credit card: (C.

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