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| Rental Payments Online |
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(Please have your reservation # and payment amount ready.) |
For all Non-Online Credit Card payments, please download the Authorization form. |
Completed and signed forms may be faxed to (757) 689-4571 or emailed. |
SAMPLE OF CREDIT CARD AUTHORIZATION FORM SANDBRIDGE REALTY, INC.CREDIT CARD AUTHORIZATION FORMI, ____________________________ do hereby authorize Sandbridge Realty, Inc. and its associates to place a charge on my credit card for reservation number __________ in the amount of $___________ for the initial payment.
I also authorize my final payment of $____________ to be charged on its due date (forty-five days before check-in date). I understand that this is optional and that I may choose an alternate payment option when the final payment becomes due.
I understand that this credit card service is provided as an alternative payment option. I understand that the current card convenience fee is $64.95, which is subject to change at any time. I agree to pay this convenience fee for each charge to my credit card, which will be added to the mentioned in the above paragraph.
By submitting my authorized payment(s) as reflected on this document, I understand and agree that I am entering into a rental contract with Sandbridge Realty, Inc. and that I am therefore bound by the Terms and Conditions of the Advanced Rent Request (rental contract).
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Tenant Signature Date
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Credit Card Number Card Expiration Date (MM/YY)
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Card Type (MC/Visa/Discover)
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