Credit Card Authorization Form RETURN FAX TO: 202/879-4558 Attention: From: Fax Number: Contact Number: Date: 1. Please indicate which property you are authorizing:____________________________________________ ***Please complete this form and return it by fax at least 10 days PRIOR to your arrival date, failure to do so within the time allotted will result in automatic DECLINE.*** Please make sure the following information is correct: Guest Name Confirmation # Arrival- Departure Balance Due 3. I (first) _______________________(last)________________________authorize Caesars Entertainment® Las Vegas to charge the following to my __________________________________ (credit card type), number __________ __________ __________ __________, expiration _______ /_______ Name of Issuing Bank:__________________________________________________________________________ Cardholder Billing Address: ___________________________ City ________________ ST ____ Zip __________ Check one ONLY: _____ Room and Tax only, as indicated above _____ Room, Tax and Resort Fees _____ Entire Incidentals Deposit only ($____ per night, per room)* _____ Room, Tax and Resort Fees, as indicated above + entire Incidentals Deposit ($______ per night, per room)* _____ All Charges (Room, Tax, and Resort Fees as indicated above, Incidental Deposit as described above, all Incidental Charges) Please note Any unused portion of the prepaid Deposit(s) will be refunded to the credit card listed above after check-out. Refunds will not be issued in cash. Pre-authorization are required for the initial incidentals deposit only and is not intended to authorize all incidental charges unless specified above. By signing this authorization form I understand this transaction is NON-reversible. I authorize and acknowledge all of the aforementioned charges and any additional authorized charges will be posted to my credit card in the form of an advance deposit or for full payment for the person(s)/function(s) designated above upon receipt of this form. I acknowledge that any cancellation fees, penalties or minimum requirements agreed to in our signed contract may also be charged to my credit card. I understand that upon receipt of this form, Caesar’s Entertainment, Inc. may hold sufficient funds to cover the anticipated charges. **ANY ALTERATIONS TO THIS DOCUMENT WILL CAUSE AN AUTOMATIC RETURN/DECLINE ** 4. Cardholder Signature ___________________________________________________________ Date_________________ A credit card or cash deposit will be required upon check in unless all charges are authorized. PLEASE FAX AUTHORIZATION TO: 202/879-4558 ATTN: Yvonne Cheek or Kim Randolph The information contained in this e-mail or fax may be legally privileged and confidential. It is intended to be read only by the person to whom it is addressed. If you have received this in error or are not the intended recipient, please immediately notify the sender and delete all copies of this message.
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