Internet Payment Form

Personal Information
Tenant Name
Address
Address 2
City
State	Zip Code
Phone Number

Storage Unit Information
Unit Number & Access Code- 7-8#'s
Reybold Site

Payment Information
Amount to Pay	$
Credit Card Type
Credit Card #
Expiration Date	Month Year
Security Code (Last 3-4 digits)	(From back of Credit Card)
Name as it appears on credit card
Billing address
City/State/Zip Code
Email Address

We will only process this information under the following conditions: All information provided is correct Your credit card company authorizes the transaction We may contact you for confirmation Please allow up to 48 hours for processing Payment requests received after 5 pm will post the next business day We will mail a transaction receipt to the credit card billing address provided above If you use AOL as your Internet Service Provider (ISP), we're sorry but you cannot use this online payment feature Late payments must be made in person Any questions or concerns, contact your storage site By checking this box, I confirm that I agree to all the terms and conditions for the use of my credit card. I also agree that there are no rent refunds.

	Your information is secure.

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