: ‘..) U NI e a - ;3 Confirmation Number: Cardholder Name: TCZ C--; PSTE- I id Cardholder Address: c c-Asi- -41ST STRUT kl`/ t IJO -L RS= Card Holder Phon Card Holder Fax: "**Last 4 Digits of Credit Card: Type: A j..A CY., By signing this authorization form, I am granting permission The Hotel Monaco-