Sample Short Term Rental Agreement Form Page 3

SAMPLE FORM

11. Payment: Acceptable payment methods are

[insert payment methods].

If you wish

to use a credit card, please provide the following information.

Name on credit card:

__________________ Type: _______________

Credit card billing address:_________________________________________________

City_______________________________ State ___________ Postcode___________

Credit Card Number________________________________________

Exp date_____________

CVV (Security) Code _____________

By my signature below, I hereby give permission to charge my credit card for the

amounts above. I agree that all rental monies are non-refundable per cancellation policy

above. I have read my rights to purchase travel insurance.

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Parent category: Business