Depends on the place. As others have described some will work through your credit cards. If you are in a hotel bar (and are a guest of the hotel) they just take your room number/name and you pay at the end of your visit. In smaller towns sometimes its just based on an honor system where you now everyone anyway and if you dont pay they will know where you live and they can live with that one stranger a year that doesnt pay because it makes everything else easier.
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