AUTOMATIC CREDIT CARD AUTHORIZATION

 

This authorization is for the following unit(s) _______   __________   ___________   ________

I hereby authorize BULLDOG PARKING & STORAGE to automatically debit the monthly rent 7 days before the 1st day of

the month for the unit(s) shown above from my credit card as shown below. As of this date, the total amount to be charged is

$ __________.

Additional 3% cc service fee may apply.

This authorization will remain in effect until we receive written notification of its termination.  We reserve the right,

(with advance written notification), to terminate your participation in this payment option.  If an automatic debit is

refused for any reason, including but not limited to over-credit limit charges, closed account, unauthorized account or

incorrect expiration dates, we will not be able to process payment. In this event, late charges as set forth will be charged.

TENANT MUST GIVE LANDLORD WRITTEN MOVE-OUT NOTICE 30 DAYS PRIOR TO THE DATE OF DESIRED OCCUPANCY MOVE OUT/TERMINATION.  TENANT WILL BE HELD LIABLE FOR MONTHLY RENTAL FEES PLUS LATE FEES INCURRED UNTIL WRITTEN MOVE-OUT NOTICE IS PROVIDED BY TENANT TO TERMINATE LEASE. Initial ______________

I agree to notify BULLDOG PARKING & STORAGE, INC. in writing/verbally of any changes to my account, expiration

Date, or if I wish to terminate, or start a new payment option.  I understand that I am still obligated to pay any outstanding

amounts due.

ACCOUNT INFORMATION

 

CREDIT CARD TYPE:        MASTER CARD _____       VISA _____ DISCOVER _____

 

_______________________________________________________________________________

NAME AS IT APPEARS ON CREDIT CARD – PLEASE PRINT

 

_______________________________________________________________________________

BILLING ADDRESS, CITY, STATE, ZIP

 

THIS AUTHORIZATION IS FOR THE FOLLOWING UNIT(S) :

CREDIT CARD NUMBER                                                EXP. DATE (MM/YY)              3 DIGIT CODE

 

_______   __________   ___________   ________                       _____________________           ________________

 

____________________________________________           _________________________________

SIGNATURE OF TENANT                                                              PRINTED NAME OF TENANT

 

 

DATE _______________

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