Cherry Creek Credit Card Authorization

#ELWAYS

Credit Card Authorization Form

Please submit form at least 24 hours in advance of your reservation. For increased security a photo of the credit card must be submitted with the form to complete the authorization process. A printable version is available here.

NOTE: An 8% Local Tax will be added to the amount specified in the ‘Amount’ field.

Guest Name On Reservation

Date Of Reservation

Time Of Reservation

Credit Card Type

Name On Credit Card

Credit Card Number

Expiration Date

Billing Zip Code Of Cardholder

Amount

Tip Amount

Custom Tip Amount

Special Notes? / To? / From?

Purchaser Name

Purchaser Phone Number

Email Receipt To This Address

Upload Credit Card Image

Credit Card Authorization

By checking this box you authorize Elway's Steakhouse to charge the submitted credit card for the amount indicated above, including tips and associated taxes.

ELWAYS CHERRY CREEK | 2500 E First Avenue Unit 101 | Denver, CO 80206 | 303.399.5353 | info@elways.com