Credit Card Authorization

Room guest(s):
Check-in date:　　　/　　　/		Check-out date:　　　/　　　/
Room type:	How many rooms:				How many nights:
Credit card holder:
Card type: □Visa □MasterCard □JCB □Diners Club □American Express
Credit card number:　　　　　-　　　　　-　　　　　-
Expiration: (mm/yy)　　　 /			Amount: NT$
Security number: Visa and MasterCard: The card security number is located on the back of the card and consists of the last three digits on the signature strip. American Express: The card security number is located on the front of the card, printed above and to the right of your credit card number. Diner’s Club: You don’t need to enter a card security number.
Phone number:				Cellular phone:
Signature:　　　　　　　　 　 　　　 　Date:　　　　/　　　　/

● All reservations over a long weekend are required to pay for the room fee in advance. Thank you very much for your trust and understanding.

● Please fill it out and fax to +886-6-228-6018 or scan it and email to us.

● Please check your email and make sure you get a notice that we have received your credit card authorization in the next 24 hours.

Phone: +886-6-225-2141 Fax: +886-6-228-6018

www.premier.com.tw premierhoteltaiwan@gmail.com

Premier Hotel Co. Ltd 128 Gong Yuan Rd., Tainan 70448, Taiwan