GUARANTEE FORM (To be filled by credit card holder only)

Name of Guest
Check in (dd/mm/yy)

FAX To: Lloyd's Inn Pte Ltd. Fax : (65) 6737 7847 From:

Name
Street
City
Country
Telephone:	Fax:
E-Mail:
Date(dd/mm/yy)

I confirm I have reserved rooms with your hotel. In the event that I do not show up, I hereby authorize your company to debit the following from my credit card.

	Amount S$
	Card Type
	Card Number
	Expiry Date (mm/yy)

Photocopy of VISA or Master Card/

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(Please Sign Here)
Please print and fax to Lloyd's Inn for confirmation. Thank You