te this form.) 0 All Charges 0 Room And Tax 0 Telephone 0 Other Charges I certify that all information is complete and accurate. I hereby authorize RZ ST. THOMAS to collect payment for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to

form.) [ ] All Charges [ ] Room And Tax [ ] Telephone [ ] Other Charges I certify that all information is complete and accurate. I hereby authorize RZ ST. THOMAS to collect payment for all charges as indicated in the Rate Information and Approved Charges section of this form by processing a charge to