Subject: Fwd: Reservations
Date: Thu, 8 Sep 2016 10:53:24 +0000

Third Party Credit Form  Please complete the details below and return to us as soon as possible along with a photocopy of the back and the front of the credit card to enable us to process this request for you.  Due to PCI Compliance we are unable to accept this form by email, instead please fax this form to +44 207 589 5044   PLEASE ENSURE YOU INCLUDE A COPY OF THE FRONT & BACK OF THE CARD  NAME OF GUEST:   _______________________________________________  ARRIVAL DATE:    _______________________________  DEPARTURE DATE:   _______________________________  NAME OF CARDHOLDER: _______________________________________________ (as it appears on card)  CARDHOLDER ADDRESS: _______________________________________________ (as it appears on statement)                                                                                                                                   _______________________________________________________________  CONTACT TEL NUMBER:  _______________________________________________  CARD NUMBER:                    _______________________________________________  VALID FROM:                         ___________________  EXPIRY DATE:                        ___________________  ISSUE NUMBER:                     ___________________ (Switch / Solo )  I the undersigned, authorise RYDGES KENSINGTON LONDON to charge for the following charges to my credit card , as detailed above (please tick box below)   ROOM ONLY:                                                                    BED & BREAKFAST                   CONFERENCE                                            ALL CHARGES          If you would like to take advantage of having your payment converted into your local currency, please tick this box to authorise    SIGNATURE OF CARDHOLDER _____________________________________________  DATE: _______________________ 61 Gloucester Road, London, SW7 4PE . Tel: 020 7584 8100 Fax: 020 7589 5044 Website: www.rydges.com