I, , authorize SeaBrook Harbor, LLC to charge monthly storage (if applicable) in the amount of $ along with any accounts with the ship’s store to my credit card account listed below. It is understood that the address on file with SeaBrook Harbor, LLC is the address for receipt of monthly billing. It is also understood that “Tenant” will notify “Landlord” of any changes of credit card information, address or telephone number by written notice.

Please call the SeaBrook Harbor office @ 504-283-9801 to provide Credit Card Information (as follows):

Please charge my credit card account: ___ Visa ___ MasterCard ___ Discover
Account #: ___________________________________
Expiration Date: ____________________ V Code: _______
Authorized Signature: ___________________________________
Date: ____________________________________

Accounts will be charged on the last business day of the each month. The charges will reflect upcoming storage, and/or ship store charges. If an account is not current, it will be put on hold until payment is paid in full.

e-Signature (name) date: