Credit Card Guarantee / Payment Authorization

Guest Details

Guest Name: Arrival Date:

Identity / Passport Number: Number of Nights:

I certify that all information is completed and accurate. I hereby authorize Mövenpick Hotel & Convention Centre
KLIA, to charge the below amount for cost of services specified to my Debit or Credit Card as detailed. I am
providing the full details of my card with my consent to the authorization and the same payment card will be presented
upon check-in for security purposes.

Payment Card Details

Type of Card e.g. (Master/Visa/Amex): Expiry Date (Month, Year):

Card Number:

Name of Card Holder

(Capitals as shown on card):

Payment Amount (include currency type):

Your Email Address:

Your Card Billing Address:

Special Instructions/Comments:

We make every effort to adhere to Payment Card Industry regulations, however any queries arising from this
authorization may result in your reservation being cancelled. In this event, you will be informed. If the card provided is
not available on arrival, an additional payment guarantee will be taken until this authorization is cleared. By providing
this authorization, you agree to observe the booking cancellation policy and any terms and conditions attached with your
booking. In the event that any changes are made to your confirmed booking that fall outside of our policy, including in
the event of any no show, you agree that the attached authorization shall permit us to process any outstanding payments
against your booking.

Please sign below to confirm you approve of your credit card usage as described:

Card Holder
Signature: Date :

This password protected form must be completed by the Cardholder and returned to the hotel via your e-mail address
provided above with the same password protection intact or using a digital signature where possible.

We look forward to welcoming you, if we can be of any assistance please do not hesitate to contact us.

Mövenpick Hotel & Convention Centre KLIA

Kompleks TH Sepang | Jalan Masjid KLIA | Sepang | Malaysia
Phone +603 8661 8661 | hotel.klia.reservations@movenpick.com
movenpick.com
MÖVENPICK is a registered trademark of Mövenpick Holding AG. 1/1