Facility Payment Form Please submit this payment form only after your rental request has been confirmed. Name* First Last Business/Organization NameWhat is the name of your business or organization that will use the facility?Email*Please include the email you would like your receipt emailed to. Phone*Invoice Number*Found on invoice attached to confirmation email.Amount Due*Please enter the amount due as indicated on the invoice email. Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name
