Pre-Arrival Forms

Credit Card Authorization Form & Direct Bill Application

Upon arrival, we require a government-issued ID or drivers license in addition to a physical swipe of either a credit or debit card.

If you will not have a physical credit or debit card upon arrival -OR- if you would like to pay for a guest’s stay, you may fill out the below form and send it to us prior to you or your guest’s arrival date. Please note that in order for this form to be valid, you must:
Please note that should the card on this form decline at check-in, the guest will be responsible for providing a credit or debit card for all charges.
Send completed form to: countrysidecb@gmail.com -OR- fax to: (712) 366-6129
If your guest will arrive in time for the hotel to receive the form via regular mail, you may send the completed form to: Countryside Inn & Suites ATTN: Reservations 3208 S 7th St Council Bluffs, IA 51501

Need assistance completing the form? We’re here to help!
Call us anytime at (712) 366-9699

If your company will be bringing guests to Countryside Inn & Suites on a routine basis, we’d love to set up a direct bill account for you! This method of payment requires only a government-issued ID or drivers license from your guests upon arrival- no payment required from them unless they will be responsible for their own incidental charges. We would also be happy to have a Credit Card Authorization on file for routine basis.
Send completed direct bill application to countrysidecb@gmail.com or via fax to (712) 366-6129 If you would prefer to send the completed form via regular mail: Countryside Inn & Suites ATTN: Accounts Payable 3208 S 7th St Council Bluffs, IA 51501

IMPORTANT:
Please note that your direct bill account will not be active until a
member of our management team reaches out to you with confirmation.