ACE SELF STORAGE, LLC

CHARGE AUTHORIZATION

Ace Self Storage ~ 11 Gavitt Avenue ~ PO Box 1114 ~ Westerly, RI 02891

Phone  (401) 596-3007

Fax  (401) 596-0529

 

 

 

Occupant hereby authorizes Owner to charge my monthly rent to my credit card as follows:

 

Card Type:

                                Mastercard                                           ___

 

                                Visa                                                        ___

               

                                Discover                                                ___

 

                                American Express                               ___

 

 

Card Number:      ________________________                        Expiration:            ______

 

Name on Card:     ________________________                        3 digit V-Code (on back of card):      _______

 

Billing Address on Credit Card Statement:  ________________________________________________

 

 

          I hereby authorize Ace Self Storage, LLC to charge the above referenced account and to apply said charges toward the payment of my monthly rent for the unit number stated above.  Said charge authorization is to be in an amount equal to my monthly rent in effect at the time.  I understand that it shall remain my obligation to notify Ace Self Storage, LLC in writing 10 days in advance of my intent to terminate my tenancy, and to pay any prorated amounts of rent that may become due thereof.  If the above card is declined for any reason the tenant will be responsible for all rents, late fees and other charges pursuant to this rental agreement.  I understand that all rent charged to my credit card, on or after that date is non refundable, unless a prorated refund is due to me and that such charges may not be reversed.

 

          By placing his/ her signature below, Occupant hereby acknowledges that he/ she does wish to have his/ her credit card charged each month for the rent charges on his/ her storage unit.

 

Occupant/ Cardholder's Signature:   ______________________________________       Date:       _______________

 

Operator/ Manager's Signature:        ______________________________________       Date:       _______________