Credit Card Authorization LPSS

1221 Palmetto Ave, Pacifica, CA 94044 650 355 5005 - Office@LighthousePointSelfStorage.com
Occupant's Authorization of Credit Card
Tenant's Name*

First NameLast Name
Unit   Ex. 100
Unit   Ex. 2001
Unit   Ex. 301
Email
example@example.com
Card Holder's Name*

First NameLast 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 this 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*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

Occupant's Authorization of Credit Card