Tenant Code (if making an additional payment)
First and Last Name
Address (charge card bills sent to)
Address living at (if different)
City
State
Payment or Reservation for unit
Zip Code
Daytime telephone
Cell phone
E-mail address
Cardholder's name (if different from above)
Card number
Security code
Type of card
Expiration date
Amount to be charged - $200 minimum is required to make a new reservation and reserve dates
If applicable - Move In Date (after 3 PM)
If applicable - Move Out Date (before 10 AM)
Comments
Reservation/Charge Card Payment Form