Third-party Card Payment Authorization Form
Person paying for somebody else applying to move into and currently lives in Apartel USA must fill out this form to authorize credit card payment as the third party.
Beneficiary *
My full name is *
Your answer
I am paying you the amount of *
Your answer
by using my credit/debit card ending *
must be the last DIGITS of the card
Your answer
for the person in the name of *
Your answer
for the payable item named as *
I understand all card payments incur surcharge and agree with it *
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