Reservation and Credit Card Authorization Form
I hereby authorize The Mansion Boutique Hotel, Bucharest to charge my credit card for the charge initialed below:
Email address *
Code: *
Your answer
First name and last name *
Your answer
Check-in date *
MM
/
DD
/
YYYY
Number of nights *
Required
Rate and Meal Plan *
Required
Credit Card Number *
Your answer
Expiration Date *
Your answer
Credit Card Holder Name *
Your answer
Credit Card Holder Phone Number *
Your answer
Terms and conditions: *
Required
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