NCAA Basketball Food and Beverage Agreement/Credit Card Authorization Form
Contact Name: ________________________________Game Day: _______March 28th____________ Email Address: ________________________________Phone Number:(____)__________________________ Mailing Address: ____________________________City:____________________State: _____Zip:__________ Event Guarantee: __$50 minimum purchase of Food and or Beverages Requested number of Seats:________ Cardholder Name:
___________________ Company Name: __________________________ (Print name exactly as it appears on card)
Credit Card Type:
Visa
MasterCard
(Corporate Cards only)
Discover
American Express
(Please Check One) **Do not list full card number on form if it will be sent via email**
Expiration Date: ____/_____
Someone will contact you in the order that the forms are received to gather your credit card information. Please, DO NOT INCLUDE CARD INFORMATION ON THIS FORM. I acknowledge that I am responsible to meet or exceed the minimum expectation of food and or beverage purchases according to the number of seats at my reserved table. Food and or Beverage will further be defined as “F&B”. The “number of seats” can be defined as the number of available chairs at any assigned table. It is my responsibility to fill the seats at my assigned table as I am fully responsible for the F&B agreement. I fully understand that the minimum of $50 of F&B is required per seat at every assigned table before any applicable tax and gratuity. If the minimum F&B minimum purchases for each seat, then I agree to pay the remainder as a reservation fee. I understand that I must show up on the day of the event no later than twenty minutes after the start of the game. After which time should I not show up, my status will be considered a last-minute cancelation. Last minute cancelations are defined as any one person or reservation that fails to inform EPIC, a minimum of 48 hours prior to the beginning of the game, of their intention to not attend the event. Last minute cancelations will be charged the required F&B minimum. At that time, I understand that my reserved seats will be forfeit and EPIC reserves the right to fill those seats immediately. I understand at that point I am no longer guaranteed the previously agreed upon reservation. Should you be running late due to traffic or weather, please call to inform us. I acknowledge that my reservation will not be considered completed until I have faxed or physically handed this agreement to a member of the EPIC management team. I understand that PCI DSS (Payment Card Industry Data Security Standard) does not allow for electronically submitted requests (scan and email) and that my information is being faxed to a secured environment. I agree to bring a government issued ID and the credit card for payment on the day of the event for internal processing at EPIC. My encrypted credit card on file will only be used in the case that I am considered a last-minute cancelation. I authorize the credit card ending in (last 4 digits) ___________ to be used for the listed services at the Northern Quest Resort & Casino, Airway Heights, Washington. **I understand that I will receive a call to pre-authorize my card no later than 2 business days of the event or sooner to confirm my reservation. A final receipt will be sent to the provided email address if your status is deemed a last-minute cancelation.
Signature: ________________________________________Today’s Date: __________________________
Please return this form to Northern Quest Resort and Casino, EPIC Sports Bar, 100 N Hayford Road, Airway Heights, WA 99001 or Fax to: 509-481-6011. If you have questions, please call 509.481.2122 or email to
[email protected].
