CREDIT'CARD'AUTHORIZATION!!!Guest/Group!Name:!!Arrival!&!Departure!Dates:!!I!irrevocably!authorize!my!credit!card!to!be!used!for!the!following!services!at!the!Westin!Las!Vegas!Hotel,!Casino!&!Spa,!Las!Vegas,!Nevada:!!Please!Check!One:! Payment! Deposit!Only!!Check!all!that!apply:!!

All!Group!Room,!Tax!and!Associated!Charges!(including!rooms!attrition!and!cancellation)!!

All!Banquet!Food!and!Beverage!and!Associated!Charges!(including!tax,!service!charges,!and!food!and!beverage!attrition!and!cancellation)!

!All!Master!Account!and!Other!Charges!

Group!Deposit!of!$! (Per!Contract)!

Following!Charges!Only:!!Comments:!!!!Credit!Card!Type:!

!

!If'used'for'Direct'Billing'guarantee,'please'provide:'

CONTACT'PERSON:!

BILLING'ADDRESS'&'TELEPHONE'#:!!Credit!Card!#:!!3!digit!code!(back!of!credit!card):! Expiration!Date:!

Contact!Name:!

Card!Holder:!!!Card!Holder!Billing!Address:!

Print!name!exactly!as!it!appears!on!card!

!Company!Name:!

City,!State!Zip:!

Phone:! Email:!!Amount!of!Charge/Approve:!

!

!Signature:! Today’s!Date:!I!warrant!and!represent!that!I!am!authorized!to!agree!that!charges!for!this!event!are!posted!to!this!credit!card.!

!!IMPORTANT'NOTE:'DUE!TO!CREDIT!CARD!REGULATIONS,!A!PHOTOCOPY!OF!THE!CARDHOLDER’S!CARD!IMPRINT!(FRONT!&!BACK)!MUST!BE!PROVIDED,!UPON!COMPLETION!OF!THIS!FORM.! PLEASE!BE!SURE!CARDHOLDER!HAS!SIGNED!THE!BACK!OF!THE!CARD.!!!If'credit'card'is'used'as'guarantee'of'payment,'an'authorization'hold'for'the'estimated'balance'will'be'put'through'30'days'prior'to'program.' All'invoices'are'due'in'accordance'with'contract'terms.' After'30'days'if'payment'is'not'received,'credit'card'will'be'charged.!!!FOR!HOTEL!USE!ONLY:!Amount!Charged:! $! Approval!Code:!

Date:! ! ! Deposit!#:!

!

CREDIT CARD AUTHORIZATION FORM

Soccer Team/ Club Name:

Team Hotel: a Rate/Night ____________t

Amount Authorized to Charge:

1) The difference between the Stay for Play Minimum Room Night Requirement of 16 rooms (10 Rooms with a 3 night minimum) and the Teams final room nights paid at the Team Hotel at the Rate/Night (pre tax/applicable resort fee). Ex: Team room nights paid for equal to 14 rooms at ABC Hotel with a Rate/Night of $75, then the team is responsible for paying the difference, which equates to 2 room nights at $75 each.

2) 1st Nights stay or full reservation amount at the Team Hotel (determined by hotels cancellation policy through the Tournaments contract with the Hotel) at the Rate/Night (pre tax/applicable resort fee) for any cancellations or no shows outside of the Tournament Cancellation timeframe.

Cardholder Name (please print):

Cardholder Billing Address:

City: State: Zip Code:

Phone Number: Email:

Type of Card: □ VISA □ MASTERCARD □ AMERICAN EXPRESS □ DISCOVER

Card Number: Exp. Date (mm/yy): Security Code*:

*The non – embossed 3 digits printed on the signature panel on the back of your card immediately following the card number. The American Express security code is the non – embossed 4 digits printed on the front of the card.

Notify cardholder of the full amount to be charged the card listed above prior to processing payment

Yes (Select Method) Email Phone Decline Notification By checking the box, I acknowledge that I am the responsible party for the Soccer Team /Club listed above and for the

teams Tournament hotel reservations. I will also inform the team and players of the process and deadlines for any changes, no shows or cancellations at the Teams Hotel. Changes and Cancellations MUST be submitted in writing to info@soccertournamentconcierge.com on or before Friday, October 21, 2016 to avoid any penalties or non –participation in the Tournament.

By checking the box, I authorize Las Vegas Thanksgiving Classic (c/o Eventure, LLC, DBA Sports Tournament Concierge) to charge the credit or debit card provided on this credit card authorization form the amount authorized above.

Cardholder Signature: Date:

E-Mail form to info@soccertournamentconcierge.com or call (702) 202-2107 with any questions.