✔
Americas
Best Value
Inn
by Vantage
AMERICAS BEST VALUE INN
601 TALMAGE RD.
UKIAH, CA 95482
PHONE# (707) 462-8868 FAX# (707) 225-8936
CREDIT CARD AUTHORIZATION
Card Holder Details
Name of Company or Person
Card Holder Name
*
Card Type
*
-- Select --
Visa
MasterCard
American Express
Discover
Other
Expiration Date
*
Card Number
*
Billing Information
Billing Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Fax
Email
*
Driver License #
Credit Card To Be Used For
All charges
Room and tax only
Arrival Date
Number of Nights
Guest(s)
Guest 1
Guest 2
Attachments
Copy of Credit Card (Front)
Copy of Credit Card (Back)
Copy of Cardholder Driver's License
Accepted: JPG, PNG, PDF · max 5 MB each
By signing this form, I authorize America's Best Value Inn to charge this credit card for all charges indicated above.
Cardholder Signature (type full name)
*
Date
*
Submit Authorization
Your information is transmitted to the hotel only and is not shared with third parties.