3910 S High St., Columbus OH 43207
PH: (614) 409-1373, FAX: (614) 409-1643

Commercial Credit Card Authorization

Date: Attn: Confirmation # :

I hereby confirm that I authorize the Budget Inn Express to charge my/company credit card for the reservation of Mr./Mrs./Associates: for the payment of their room charges while their entire stay. Cancellation policy no later than 24 hrs on the date of reservation. I understand that if i do not cancel my reservation before the specific deadline, I will be charged full rate. Must Fax the copy of the Drivers License of Credit card holder. If your person does not show up, your credit card will be charged the full rate. If they do not checkout by 11:00 AM we will assume that they want to stay over and we will charge for another night. No refunds will be given after 11:00AM.

Dates: Arrival                              Departure                            .
Card Type:             (You must have to use the same card.)
Name on the credit card :                                                                                               .
Authorization for Name :                                                                                                 .
Credit card no:
Expiry Date:              /             .(MM/YYYY)
Home Phone: (            )                           .     Work Phone: (            )                      .
Fax: (           )                 .
Cardholders Signature: X                                                                         .
Address:                                                                                                .
City, State, Zip:                                                                                      .
Please FAX this form in 15 min. of printing. Call us before you fax so we can be prepared.
For office use only (Time:: )
Name on reservation:
Folio/confirmation number:                                                      .

Thank You
Anil Patel
General Manager.