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Credit Card Authorization for Rent or Application or Late Fee or Security/Pet Deposit
for Boardwalk Realty & Development

For those prospective tenants that meet our income and credit requirements,
a security deposit equal to half a month's rent is charged.

Please use this form to send in your deposit, pay your rent, or to give general comments.

Please provide the following contact information:

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

FAX

E-mail

Payment

Deposit         Rent

Amount

Example$650.00

    BILLING
Credit Card
Cardholder Name

Billing Address

State

Zip

Card Number

Expiration Date

Today's Date mm/dd/yy
Enter the time

Comments

Please check all information before hitting the submit button

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Copyright © 1999 [Boardwalk Realty]. All rights reserved.
Revised: March 31, 2008