I , HEREBY AUTHORIZE POOL HOMES FOR RENT, INC.

TO CHARGE MY  VISA, MASTERCARD, DISCOVER CARD, AMERICAN EXPRESS (Check One)  
Account number
Expiration Date
CW2 Code
in the amount of US $ 

My billing name and address on this credit card is as followed:

Cancellation Policy *

I authorize Pool Homes for Rent, Inc. to charge my credit card.

Submit