Oceano Copacabana Hotel.
Rua Hilário de Gouveia, 17 – Copacabana - Rio de Janeiro – RJ.
Telefone: 55 21 2548 4260 Fax: 55 21 2235 3644.
E-mail: [email protected]
Site: www.oceanohotel.com.br
CREDIT CARD DEBIT AUTHORIZATION
I authorize Hotel Oceano Copacabana to charge the following amount on my credit card:
(
(
(
(
) AMERICAN EXPRESS
) DINNERS
) MASTERCARD
) VISA
Guest Name:
Passport number:
Check-In:
Number of rooms:
Address:
Zip Code:
Home Phone: ( )
E-mail:
CREDIT CAR NUMBER:
NAME (owner of the credit card):
VALIDITY:
SECURITY CODE:
PAYMENT PRICE: R$
Number of people:
City
Check-Out:
Room Type: ( )Sgl ( ) Dbl
Estate:
Cell Phone: ( )
Category of room:
Country:
* PAY ATTENTION *
1. The document is valid only when fully completed and signed.
2. The amount mentioned above Will be charged after sending the authorization to the hotel.
3. After payment in case of cancellation, no show and/or change the amount paid will not be refunded or
credited.
** IMPORTANT **
Please send this document fully completed and signed by fax 55 21 2235 3644 or by e-mail,
[email protected] , including legible photocopies front and back of the credit card and passport.
If the authorization sent is not complete, without signature and / or without copies of the card/passport your
reservation will be canceled automatically.
DATA:____/_____/______.
Assinatura:_______________________________________.