Authorization form

D

ATT : GRAND LIZA HOTEL Account Department

Adress : Sarac Ishak Mah. Tiyatro Cad. No:114 Kumkapı - Sultanahmet /ISTANBUL

Web : www.hotelliza.com Tel : +90 212 516 73 23

E-mail : info@ hotelliza.com Fax : +90 212 517 47 94

Card Holder’s Name :

Credit Card

( VISA , MASTER or AMERICAN EXPRESS ) :

Exp . Date :

Security ( PIN ) Code :

Adress :

Tel or Fax :

guarantee the room (s ) charges to my above mentioned credit card for my stay .

Hotel Name :

GRAND LIZA HOTEL

Check in :

Check Out :

Room Type ( s ) :

The Amount to be Charged :

Card Holders Signature :