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490 Yorkshire Dr., Severna Park, MD 21146
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Clubhouse Reservation Payment Form
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Clubhouse Reservation Payment Form
Clubhouse Reservation Payment Version 2
Payment for Clubhouse Reservation
Step
1
of
3
33%
Rental Type
(Required)
Meeting/Full Day
Meeting Rental
Full Day Rental
Cleaning Fee
(Required)
Cleaning Fee for all Clubhouse Rentals
Price:
Security Deposit
(Required)
Security Deposit for all Clubhouse Rentals
Price:
Subtotal
Upload Signed Rental Agreement
(Required)
Max. file size: 5 MB.
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Total
Payment Method
(Required)
ACH
Credit Card
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Security Code
Cardholder Name
ACH
(Required)
Account Number
Account Type
Select
Savings
Checking
Routing Number
Account Holder Name
Phone
Order Token
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