Cheap-orlando-florida-hotels.com
Credit Card Information Fax Form
Authorized by Happy Discount Limited Partnership
 
Fax-in Payment Transaction Date :
 
Personal Particulars
Name :.................................................................................................................................
Telephone :.................................................................................................................................
Email :.................................................................................................................................
 

 
Payment Particulars
Credit Card Type Visa Master Amex Diners Club
Credit Card Number :.................................................................................................................................
secure number
(The last 3 to 4 digit number
appearing on the signature panel)
:.................................................................................................................................
Card Holder's name  
Expiry Date (MM/YYYY) :.................................................................................................................................
Remarks :.................................................................................................................................
  :.................................................................................................................................
Card Holder's Signature :.................................................................................................................................
 
Booking Particulars
Hotel name :..................................................................................................................................
 
Room Type
Check-In Date
(day/month/year)
Check-Out Date
(day/month/year)
 
 
   

 
 Guest Name :
   
I understand that Happy Discount Limited Partnership will appear on my credit card statement for this transaction and that should I have any problems with this order,
I can contact Happy Discount Limited Partnership for a prompt resolution by emailing
info@hoteldiscovery.net or calling 662-237-4577.
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