EFTA00305745

CORONADO BAY Loews Coronado Bay Hotel Credit Card Authorization Form I hereby authorize the Loews Coronado Bay Hotel to charge my credit card for the following: O Room & Tax ▪ Room, Tax, Food & Beverage El All Charges • Other (please specify amount to be charged) E-Mail Address of Cardholder Address: 9 East 71st Street, NY, NY 10021 Telephone Number (Day): (Night): same Name of Guest(s): Reservation Confirmation Number: Arrival: 06.15.19 Departure: 06.17.19 Rate: $289.00 • Please be advised that your credit card will be charged in full upon receipt of this form. • Cancellation must be made before 4:00 pm local time, 24 hours prior to avoid being charged one night's room and tax. Please remember to obtain a cancellation number. No refund will be issued without a cancellation confirmation number. • Inquiries can be made at authorizations@loewshotels.com or by calling 615-340-2010. For security reasons we are not able to receive emailed copies of credit card authorization forms. oq; fy Giostein Card Holder's Signature: isera Date: 06/10/ 2019 **** **** ** * * 5006 APPROVED 6 /10 / 20 9 LO EWS HOTELS Doc ID: 20190610135152278 seam Electronic Signature EFTA00305745