Hostelling International NY
(212)932-2300
Credit Card Approval Form
I, ญญญญญญญญญญญญญ______________________ authorize Hostelling International NY to charge my credit card for the following guest.
Arrival Date: _____________ Departure Date: ______________
Guest Name: _____________
Credit Card Number: _________________ Expiration Date: ________
Card Holder's Name: ____________________________________
Card Type: ________
Billing Address: ____________________________________________
ญ__________________________________________________________
Telephone No: ______________ Fax No: ___________________
Email: ______________________
_____________________________
Authorized Signature
(Same as credit card signer)
Please return this form along with a copy of the front & back of your credit card and picture identification with signature to the following fax number:
(212)932-2754