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.
My full name is
I am paying you the amount of
by using my credit/debit card ending
must be the last DIGITS of the card
for the person in the name of
for the payable item named as
weekly rent installment
partial weekly rent installment
other * Specify in next window
I understand all card payments incur surcharge and agree with it
I confirm my unconditional agreement
I agree with conditions
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