Confirm Payment Provided Consent to Auto Pay* I agreed to the auto pay optionI have agreed to have my payments auto deducted according to the terms outlined. 30% of total due 90 days prior to arrival 30% of total remaining 60 days prior to arrival Remaining Balance 30 days prior to arrival. Name* First Last Date* Date Format: MM slash DD slash YYYY Name on Card Provided*Please provide the name on the card you have provided to be auto deducted. Address on Card provided*Please list the address associated with the card provided for auto payCard Provided*Please just provide the last 4 digits of the card on file to be used. Will you be using multiple payment methods?*YESNOIf you are using multiple cards to finalize your payments, or splitting the cost amongst other room occupants, please highlight YES! Multiple Payment InfoIf more than one person will be sharing the costs and utilizing a separate credit card, please provide their name(s) below.
