Common use of Renter Signature Clause in Contracts

Renter Signature. Date: If a third party is responsible for paying the fees, please indicate here: Name of responsible party: Address: City, State, Zipcode: Email: Tel #: CREDIT CARD AUTHORIZATION FORM FOR HEBREW INSTITUTE OF RIVERDALE – THE BAYIT 0000 Xxxxx Xxxxxx Parkway Bronx, NY 10463 000-000-0000 Room Rental Payment Form If you would like to charge your rental payment to your MASTERCARD or VISA, please complete the authorization form below. Payment must be for the full amount due. You can also pay online at xxx.xxxxxxxx.xxx/xxxxxx.xxx I authorize Hebrew Institute of Riverdale – The Bayit to charge the following amount to my credit card: Please charge my credit card in the amount of _____ _. Name on MASTERCARD or VISA (only) _____ _ _ _ _ _ _ ___ MASTERCARD or VISA Number ______ _ _ _ _ _ _ _ _ __ Expiration Date _____ _ _ _ _ _ Signature ______ _ _ _ _ _ _ _ _ _ __ Date ______

Renter Signature. Date: If a third party is responsible for paying the fees, please indicate here: Name of responsible party: Address: City, State, Zipcode: Email: Tel #: CREDIT CARD AUTHORIZATION FORM FOR HEBREW INSTITUTE OF RIVERDALE – THE BAYIT 0000 Xxxxx Xxxxxx Parkway Bronx, NY 10463 000-000-0000 Room Rental Payment Form If you would like to charge your rental payment to your MASTERCARD or VISA, please complete the authorization form below. Payment must be for the full amount duedue at this time. You can also pay online at xxx.xxxxxxxx.xxx/xxxxxx.xxx I authorize Hebrew Institute of Riverdale – The Bayit to charge the following amount to my credit card: Please charge my credit card today in the amount of ______ (security deposit). Please charge the balance of my room rental on _. _____ (at least 1 week prior to event) Name on MASTERCARD or VISA (only) _____ _ _ _ _ _ _ ___ MASTERCARD or VISA Number ______ _ _ _ _ _ _ _ _ __ Expiration Date _____ _ _ _ _ _ Signature ______ _ _ _ _ _ _ _ _ _ __ Date ______