3848 West Lakeshore Drive
Baton Rouge, LA 70808
Telephone: 225-383-2665 Telefax: 225-383-5006
www.thecookhotel.com
CREDIT CARD AUTHORIZATION FORM
I authorize The Cook Hotel and Conference Center at LSU to charge my credit card for the following guest(s) and
agree to pay according to my credit card agreement:
Confirmation #
Arrival
Departure
Guest Name
Additional
Guest(s)
$110 Deluxe Room
$130 1-Bedroom Suite
Card Holder Name
Hosting Department
Hosting Individual
Telephone
( ) -
Email Address
Credit Card Number
Exp. Date:
/
Card Holder Signature
* Please be advised, the guest(s) named above will be asked to provide a form of photo of identification and
personal credit card to cover any incidentals they may incur at check-in.
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