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Days Inn Credit Card Fax Authorization Form
I, give authorization to the Days Inn Hotel located in Cocoa Beach, Florida to charge my credit card to pay for: (Check all that apply)
  • Room & Tax Charges Only
  • Incidental Charges Only. And or specific amount of $ .
  • Room, Tax & Incidental Charges

    Credit Card Holder Information:
    Name as it appears on credit card:  
    Credit Card Account Number:  
    Expiration on Card  
    The Billing address for this card: include
    City, State, Zip code
    Telephone number(s) for billing address:  
    Guest Name:  
    Reservation Confirmation Number:  
    Date of Arrival:  
    Date of Departure:  
    Signature of Credit Card Holder:  
    Date Signed:  

  • You must provide a legible copy of the credit card being used (front and back) and copy of your driver’s license (front and back).
  • A fax photocopy of this authorization shall be as valid as the original.
  • Guests using this authorization form must present proper photo identification upon check-in.
    Please complete all of the instructions and requested information on this form and return via fax at the following number: 321.799.4576. If you have any questions regarding this form please call the Best Western at 321.783.7621

    Click here to download PDF version of this form

    Good to know info...
    Credit Card Authorization
    Credit Card Processing