Superbowl-Rooms.com
6002 Arlington Way, Fort Pierce, Florida  34951
Telephone: (772) 409-2214 or 772-HOT-ROOMS    Fax: (772) 468-7666
http://www.Superbowl
-Rooms.com



CREDIT CARD AUTHORIZATION



I, ___________________________________, authorize SUPERBOWL-ROOMS.COM to charge my

(Visa, MasterCard) credit card in the amount of $_______________.  My account number is

_____________________________________, with an expiration date of ________________.

The amount charges to my account is for the following purchase made via the internet:



__________________________________________________________________________________



The correct billing information is:



Name:       ____________________________                 Home Telephone:  ______________________

Address:    ____________________________                Work Telephone:  ______________________

Fax Telephone:   _______________________               City:_______________________

Email Address:     _______________________               State:         ___________________________

Zip:           ____________________________



IMPORTANT!!!   

By signing below, the purchaser acknowledges and is aware that 14sb.com is not affiliated
with the hotels, venue box office, TicketMaster, TeleCharge, etc., and agrees that they are purchasing a
complete concert, theatre or sporting event package pursuant to Florida Statute 817.36 and that the
purchaser fully understands that any tickets or hotels included in this sale are being sold at FACE
VALUE and any additional cost reflects the value of the entertainment package including but not limited
to: Entertainment Consultation, Service/Handling Charge, and Map or Information Packet.  Purchaser
also agrees that ALL SALES ARE FINAL. With no refunds, cancellations and NO EXCEPTIONS.  NO
CASH REFUNDS!  If an event is postponed, accommodations must be used on the new date.  All
packages will be sent out via Email OR confirmed over the phone.  Purchaser releases Superbowl-
Rooms.com from any responsibility or obligation due to delays in shipping.  


JUST A REMINDER: Sales are only finalized and guaranteed AFTER all “Mandatory Information” is
faxed back to our main office.  Accommodations will not be held under any circumstances until fax is
returned to
772-468-7666.

MANDATORY INFORMATION:

·         Photocopy of the front and back of the credit card

·         Photocopy of valid drivers license or passport



_______________________________________                          ______________________________

Signature                                                                                                               Date
Credit Card Authorization
Call NOW: 772-409-2214
or 1-772-HOT-ROOMS