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Security Deposit - Credit Card Authorization Form
I give my permission for The Owen House to charge my credit card up to a maximum of $500 in the event of damage, missing items, or any other violations as outlined in the contract. A credit fee of 3.0% will be applied to the total amount charged. I will be notified prior to any charges being made to my card. I understand that my information will be retained for a maximum of 14 days following my event.
*
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Card Type
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MasterCard
Visa
American Express
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Other
Card number
*
Cardholder Name (as shown on card)
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First
Last
Expiration date (mm/yy)
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Security code (CCV)
*
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone
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Submit Authorization Form
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