Red Roof
, MI
- 08/23 111 for the amount of $713, Inn South Bend – Mishawaka, /
- Cardholder Billing Address__________________________________________________________
- Cardholder Phone Number ____________________________________________________________
- Are you a primary traveler on this reservation
- Circle one: YES or NO
- Credit Card Bank Telephone Number ___________________________________________________
- List full names of all travelers you are purchasing travel for: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- I authorize HMcGibbon Travel to charge the above listed reservation for the above listed person(s) to my credit card provided herein
- I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement
- This completed form along with a front and back copy of the signed credit card (if required) must be returned during normal business hours
- I understand that my right to a refund in the event of cancellation is governed by the cancellation and refund policy in {company name} {insert link to terms and conditions}
- I certify that I am an authorized user of this credit card, that I agree to {company name} {insert link to terms and conditions} and that I will not dispute the payment with my credit card company so long as the transaction corresponds to the amount and terms on this invoice.