Credit Card Authorization

Dear Valued Guest, This Credit Card Authorization Form has been created in order to allow you to have third party expenses charged to your credit card. Please provide all the information requested below to ensure prompt processing for your application. We ask you to please sign and date the form before submission. Please e-mail the completed form together with your copy of your credit card (both sides)
Card Member’s Name*
Card Number*
Type of Card*
Expiry Date*
Date Format: MM slash DD slash YYYY
NRIC / Passport No*
Email*
Booking Confirmation No
I hereby authorize Olive Tree Hotel to collect payment for below charges as indicated of this form by processing a charge to the credit card listed above.*
I agree to the privacy policy.
CAPTCHA
Copy of your credit card (both sides)

Site settings