Credit Card Authorization

Occupant's Authorization of Credit Card

3757 Haven Ave, Menlo Park, CA 94025 650 366 3757 - Office@MenloAthertonStorage.com
Tenant's Name*

First NameLast Name
Unit(s)
Building #   Ex. 15 Unit #  Ex. 100
Building #   Ex. 15 Unit #  Ex. 101
Building #   Ex. 15 Unit #  Ex. 102
Card Holder's Name*

First NameLast Name
I authorize Menlo-Atherton Storage "MAS" to charge this credit card (or any replacement credit card provided to MAS) for the monthly rent and other charges for the above listed rental space. This also applies to any future rental rate changes.**

For this one time use only.Per Telephone Authorization only.Charge card on specific day - 2nd through 10th (specify over phone)AUTOMATICALLY on the 1st *business* day of every month. (Preferred)
Should your credit card be declined, MAS will run it on subsequent days until accepted.

To maintain the highest level of security, please call us with your credit card number, expiration date, and cvc once you submit the form.
* If your card is denied, we will continue to run the card on subsequent days until accepted.

*We do not save your credit card or cvc number. Once it is entered into our management software, it is automatically encrypted. All we can see is the last four numbers and expiration date.
Date*

MonthDayYear
Date
Email (For receipt of submission)
example@example.com
Signature*

Clear
Should be Empty:

Occupant's Authorization of Credit Card