Credit Card Authorization Form - Hera Hub Mission Valley

I agree that the above statements are true and I agree that I have read, understand, and will honor all policies and information, including the attached General Use Room Rental Regulations, which are a part of this agreement. I understand Hera Hub is only expected to provide services and equipment identified and agreed to in this contract.

Payment is required in advance, to secure your reservation.

Name*

Email*

Phone*

Name as it appears on the card*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Card Number*

Expiration Date*

(Month/Year)

FOUR DIGIT CID AMERICAN EXPRESS

THREE DIGIT CV CODE OTHERS

Cancellation policy: Room rentals may be cancelled up to 3 business days in advance. No-shows will be charged.

I understand that filling out this form does not guarantee rental availability. Hera Hub will review my request and respond within 2 business days.

By submitting this I consent to being contacted by Hera Hub and having my information (including the last four of my credit card) stored by a third party on behalf of Hera Hub