How to make an authorization's form?

Hi,
I need help. I need to make an authorization form for using personal credit cards. So I done it and now i want to check out the way I made the form as well as the remarks. Here:

[color=blue]I … (full name)
holding credit card number … which it’s in my name
Expiry date : …

I authorize *** Hotel to withdraw am amount of $ … (only … dollars)
for booking one night.

Car holder’s Signature /


Remarks:

1- Attached a copy of credit card (both faces).
2-The signature must match the signature found on the mentioned credit card.
3-The paid amount is non refundable in case of “no show”.

Sounds ok?

I … (full name)
holding credit card number …
Expiry date : …
in my own name
authorize *** Hotel to withdraw an amount of $ … only ( … dollars only)
for a room booking for one night.

Card holder’s Signature /


Remarks:

1- A copy of the credit card (both faces) must be attached.
2-The signature must match the signature found on the mentioned credit card.
3-The paid amount is non refundable in case of “no show”.


I cannot comment about the form design itself. I’ve never seen anything like this.

Hi,

Local Bank in our country put the hotels under interrogations if they used people credit cards without this paper.

Thank you very much for correcting the form.