Credit Card Authorization

Occupant's Authorization of Credit Card
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
AUTOMATICALLY on the 1st *business* day of every month. (Preferred)For move-in charges onlyAutomatically on a day between the 2nd and 10th
You can either call us with your card information or a secure link will be sent at the time of move-in where you can provide your card information.
* If your card is denied, we will continue to run the card on subsequent days until accepted. This applies to any replacement credit or debit cards provided to MAS.

*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