Hotel Receipt-38kjqwu-08-22-15
Hotel Receipt-38kjqwu-08-22-15
Hotel Receipt-38kjqwu-08-22-15
RECEIPT
Hotel/Room Number # Of Nights Price per Night Other Charges Total ($)
Subtotal
Sales Tax
Other
Total
Thank you for your business. Please send payment within ______ days of receiving this invoice. There
will be a ______% per ______ on late invoices.
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Please Choose a Payment Type
Credit Card
I authorize the above named business/individual to charge the credit card indicated in this authorization
form according to the terms outlined above. This payment authorization is for the goods/services
described above, for the amount indicated above only, and is valid for one (1) time use only. I certify
that I am an authorized user of this credit card and that I will not dispute the payment with my credit
card company; so long as the transaction corresponds to the terms indicated in this form.
Bank Wire
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