AAACABO EXCLUSIVE HOME RENTALS - Rental CC Auth Form

Rental CC Auth Form

Payment Processing permission to charge my: (*)

VisaMasterCardPlease choose you card

In The Amount Of $(*)

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Card number(*)

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Expiration Date:(*)

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Name As It Appears On Card(*)

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Card CVV(*)

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Address

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City

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State

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Province

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Zip Code (and Country, if not U.S.)

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Email Address(*)

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BY SIGNING THIS YOU UNDERSTAND THAT THIS AMOUNT WILL BE CHARGED ON YOUR CREDIT CARD TODAY, AND THAT A CREDIT CARD FEE WILL BE APPLIED.

Signature

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Date

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