This form serves as a credit card registration receipt for Economy Inn. By signing this form, my reservation will be confirmed and guaranteed. I give authorization to Economy Inn to charge my credit card for no show or for period of stay incase my card is not present at the time of check-in.
Please make a clear photocopy of front and back of your credit card, along with a valid photo id and fax it to (607) 587-9817 with this form in a timely manner. Guest will not be permitted to check-in without prior authorization of this form, unless other credit card is provided or paid in cash.
I, ___________________________________ authorize Economy Inn, Alfred Station, NY to charge my credit card for the following reservation.
Arrival date: ___/___/20___ No of Rooms: ______ Check-in Time: 2:00pm
Departure Date: ___/___/20___ No of Guest: ______ Check-out Time: 11:00am
Smoking: ______ 1 King Size Bed: ______
Non Smoking: ______ 2 Full Size Beds: ______
Guest’s First / Last Name: _____________________________________________________________
Company’s Name: ___________________________________________________________________
Address: ___________________________________________________________________________
City / State: __________________________________ / __________________ Zip: ______________
Phone #: ( _____ ) _____ - _______ Email: _______________________@ __________________ . ______
Credit Card #: _______ - _______ - _______ - _______ Expiry Date: ___ / ___ / 20___
Credit Card Holder’s Name: _______________________________________________________________
Credit Card Holder’s Signature: ____________________________ Date: ___/___/20___
Cancellation: Our cancellation policy changes during special occasions or events in the area. Please ask for cancellation policy for your reservation. Our regular cancellation policy is 24 hours in advance.
