Payment    studio.2413

Name *
Name
Phone
Phone
I Would Like the Rent the Studio
Date of Rental (first day if multi-day)
Date of Rental (first day if multi-day)
Date of Rental (last day if multi-day)
Date of Rental (last day if multi-day)
Paint CYC Floor $150
(person responsible for payment, this card will be billed in event of damages or cancelation fees)
Address
Address
address associated with card on file (be sure zip code is correct billing zip. Not a P.O Box)
numbers only no spaces (DOUBLE CHECK YOUR NUMBERS, ESPECIALLY WHEN USING A CELL PHONE TO FILL OUT CARD INFO )
numbers only example MMYY (0917)
3 digit number on back of credit card or 4 digit number on AMEX
Payment Methods - Apps Payment