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Get Econo Lodge Credit Card Payment Authorization Form

Lodge Wormleysburg, PA to make a debit to your credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. Please complete the information below: I ____________________________ authorize Econo Lodge Wormleysburg, PA to charge my credit (full name) card account indicated below for _____________ on or after ___________________. This payment is (amount: room & tax) for ____________________________ (guest name.

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