STORAGE AND MORE, Located at 3377 Hwy. 36, Sealy, TX                     www.StorageandMore.com

Mailing Address:       12362 FM 2187, Cat Spring, TX 78933       Phone: (979) 865-3000      Fax: (877) 870-7637

AUTHORIZATION TO PAY LEASE FEES USING A CREDIT CARD

Use this form to authorize payment of your monthly space lease fee on your credit card.

Circle Card Type:    MasterCard    VISA

Credit card #___________________________________

Expiration Date ________________

Name on card_______________________________________

Card Billing Address: _________________________________________________

Card City/State/Zip:  _________________________________________________

CVV2 Code: _____________ (These are the last three digits on the top right side of your signature panel on the back of your card - REQUIRED)

I authorize my credit card to be used to pay my monthly space lease fee on the 1^st of each month, as per signed lease agreement dated ____________ in the amount of $ ___________ (per month) until I give fourteen (14) days written notice of terminating said lease.

By signing below I represent that the information I have provided above is correct, true and accurate.

 

Date ______________ Signed: _____________________________________

This form must be completed in it’s entirety.   Fax to 1-877-870-7637

OR Mail to: Storage and More, 12362 FM 2187, Cat Spring, TX 78933