Credit Card Authorization MAS

Occupant's Authorization of Credit Card

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

First Name Last Name
Building   Ex. 15* Unit #  Ex. 100*
Building   Ex. 15 Unit #  Ex. 101
Building   Ex. 15 Unit #  Ex. 102
Email
example@example.com
Card Holder's Name *

First Name Last Name
I authorize 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. *

For this one time use only. Per Telephone Authorization only. AUTOMATICALLY on the 1st *business* day of every month.
To maintain the highest level of security, please call us with your credit card number and expiration date once you submit the form.
* This form is kept in our secure vault for the security and protection of your financial information. If your card is denied, we will continue to run the card on subsequent days until accepted.
Date *

Month Day Year
Date
Signature *

Clear
Should be Empty:

Occupant's Authorization of Credit Card