Credit Card Authorization

Credit Card Authorization

Authorization of Credit Card / ACH
Occupant's Name*

First NameLast Name
Unit *
- Unit
- Unit
- Unit
- Unit
- Card/Account Holder's Name*
  
  First NameLast Name
- AUTOMATICALLY on the 1st *business* day of every month. (Preferred)For one-time use only (card/account will not be saved or charged monthly)Automatically 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/Account is denied, we will continue to run the payment on subsequent days until accepted. This applies to any replacement credit or debit cards, and/or bank accounts provided to MAS.
  
  * We do not save your credit card, cvc, or bank account number in our office, all we can see is the last four numbers and expiration date. Card/Account information is encrypted within our management software and maintained according to the highest security standards.
- Date*
  
  MonthDayYear
  Date
- Email (For receipt of submission)
  example@example.com
- Signature*
  
  Clear
Should be Empty: