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Credit/Debit Card
Credit Card Authorization
Please fill out the following information in order to attach a card to your/your student’s account. A 5% merchant fee applies to any credit card purchase with Dorm2Dorm to cover the fee charged by the bank.
Student/Client First & Last Name
(Required)
Student/Client Phone Number
(Required)
School/University
(Required)
Type of Card
(Required)
Visa
MasterCard
AMEX
Discover
Credit/Debit Card Number
(Required)
Confirm Card Number
(Required)
Expiration Month
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
Expiration Year
(Required)
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
CVV
(Required)
Cardholder Full Name
(Required)
Cardholder Phone Number
(Required)
Billing Address
(Required)
Billing Address 2
(Required)
Billing City
(Required)
Billing State
(Required)
Billing Zip
(Required)
Signature
(Required)
Today’s Date
(Required)
MM slash DD slash YYYY
Thank you for choosing Dorm2Dorm Summer & Study Abroad Storage.
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