AUTORIZATION OF DEBIT: CREDIT CARD. Ernst & Young Período : 02 a 03.12.2015 Categoria Apartamento Vista Parcial Mar Apartamento Vista Lateral Mar Premium Diária Tarifa Balcão Individual Diária Tarifa Balcão Duplo Diária Tarifa Acordo Individual Diária Tarifa Acordo Duplo R$ 1.858,00 R$ 2.006,00 R$ 500,00 R$ 540,00 R$ 2.048,00 R$ 2.211,00 R$ 580,00 R$ 626,00 Please provide reservation at PESTANA RIO ATLÂNTICA HOTELas follows: I autorize the debit on the card (flag): Holder’s name: Credit card number: Exp. date: / / Security code: Mastercard ( ) Visa ( ) Dinners ( ) Amex ( ) TOTAL AMOUNT OF PACKAGE: R$ PAYMENT FERERS TO: daily rates and taxes (10% of service and 5% Iss) RESERVATION: HOTEL: PESTANA RIO ATLÂNTICA GUEST(S): OBSERVAÇÕES: I hereby authorize to debit at my credit card mentioned above, the holder declare to agree with the following conditions; 1 – Not using full or partial booking, No Show or canceling after payment, regardless of reason, will result in total debt for the period reserved, and shall not entitle the customer to return value or any compensation. -It is an integral part of the general request for any journey, taking into account the principles of the Code of Consumer and Regulatory Determination of the Embratur #161/65. DECLARE TO AGREE UNDER THE TERMS OF THE ABOVE PRODUCT PURCHASED. _______________________________________________________ Holder’s signature City: __________________________ Date: _____________________ (Once completed, please send to [email protected] Together with Double-sided copying of the card and identity document or passport)