828.298.3406 Azalea Management Tenant Services Attention Tenants! Azalea Management can accept Visa, Master Card, Discover, or American Express payments. ALL payments submitted electronically will incur a Convenience Fee of 3% which will be calculated for you and included in the total payment. Please fill out the form below completely. Lease #* Amount $* Amount $ (With Convenience Fee)* Price: $0.00 Name* First Last Company* Email* Phone* Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Credit Card* American Express Discover MasterCard Visa Card Number Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 Expiration Date Security Code Cardholder Name Payments directed through this site are processed by Authorize.net. This payment site is operated and maintained both in conjunction with and independently of Azalea Management & Leasing, Inc. After confirmation of payment, Authorize.net will notify Azalea Management & Leasing, Inc. of the payment against your account. Note, the payee on your financial statement for this transaction will be listed as "Azalea Management & Leasing, Inc.". By using this website to make payments using credit/debit cards, you agree to be bound by the following Terms of Use: TERMS OF USE General The following Terms of Use constitute a contract between you, Azalea Management & Leasing Inc. (“AML”) and Authorize.net, and apply to your payment to your landlord by means of credit/debit cards (“Payment”) on the Authorize.net Payment Gateway (the “Service”). By submitting Payment information using the Service you agree to the terms and conditions of these Terms of Use and any documents incorporated by reference. You further agree that the Terms of Use for a legally binding contract between you, Azalea Management & Leasing, Inc. and Authorize.net. In these Terms of Use, “you” or “your” means any person or entity using the Service, “AML” or “Azalea Management & Leasing, Inc.” refers to Azalea Management & Leasing, Inc. and its subsidiaries, affiliates, directors, officers, employees, agents and contractors; and “Authorize.net” refers to Authorize.net and its subsidiaries, affiliates, directors, officers, employees, agents and contractors. AML and Authorize.net reserve the right to make changes to this website (including, without limitation, discontinuing or changing this website or the Service) and these Terms of Use at any time, without notice. If any provision of the Terms of Use is deemed invalid, void or for any reason unenforceable, that provision shall be deemed severable and shall not affect the validity and enforceability of any remaining term or condition. Payment Transactions Completion of a Payment transaction using the Service may require the authorization of your Payment by your credit card company or financial institution, the facilitation of payment by credit card associations and financial institutions, and acceptance of your Payment by your landlord. AML and Authorize.net made no representations or warranties regarding the amount of time needed to complete processing your Payment, which could be affected by delays caused by financial institutions or credit card associations. AML and Authorize.net shall not be held liable for any such delays in processing time. Further, in the event your Payment is not processed or authorized by your card company or financial institution or your landlord fails to accept your Payment, your payment liability shall remain outstanding and unpaid and you may be subject to late fees and interest charges assessed by your landlord, all of which obligations remain your sole responsibility. AML and Authorize.net shall not be held liable for: (a) any claim that your Payment was not processed, authorized or accepted, or any resulting fees and interest charges that you might incur; (b) any inability by you to use or access the Service or the website for any reason; and (c) any cause over which AML or Authorize.net does not have direct control, including problems arising from computer hardware or software (including computer viruses), telephone or other communications, or Internet service providers. AML and Authorize.net shall not be held responsible for errors, acts or failure to act of third parties, including but not limited to financial institutions, credit card associations, communication carriers, Internet providers, your landlord, or clearing houses through which transactions are originated or processed, and no such third party shall be deemed an agent of AML or Authorize.net. Payment Information In using the Service you are responsible for maintaining the confidentiality of your personal information and for restricting access to the computer on which you submit such information. AML and Authorize.net are not responsible for the action or inaction of your card company, or any credit card association or financial institution with regard to the personal information that you provide. AML and Authorize.net will not have any liability whatsoever in connection with any unauthorized interception or use of data relating to your or the Service. Disclaimer of Warranties and Limitations of Liability THIS SITE AND THE SERVICE IS PROVIDED BY AML AND AUTHORIZE.NET ON AN “AS IS” AND “AS AVAILABLE” BASIS. AML AND AUTHORIZE.NET MAKE NO REPRESENTATIONS OR WARRANTIES OR ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF THIS SITE OR THE INFORMATION, CONTENT, MATERIALS, PRODUCTS OR SERVICES INCLUDED ON THIS SITE. YOU EXPRESSLY AGREE THAT YOUR USE OF THIS SITE AND THE SERVICE IS AT YOUR SOLE RISK AND THAT YOU ARE SOLELY RESPONSIBLE FOR THE ACCURACY OF THE PERSONAL AND PAYMENT INFORMATION THAT YOUR PROVIDE. TO THE FULL EXTENT PERMISSIBLE BY APPLICABLE LAW, AML AND AUTHORIZE.NET DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES REGARDING QUALITY, SUITABILITY, MERCHANTABILITY, AND FITNESS FOR A PARTICULAR PURPOSE. AML AND AUTHORIZE.NET SHALL NOT BE HELD LIABLE FOR ANY DAMAGE OF ANY KIND, INCLUDING (WITHOUT LIMITATION) DIRECT, INDIRECT, INCIDENTAL, PUNITIVE AND CONSEQUENTIAL DAMAGES ARISING FROM THE USE OF THE SERVICES AND THIS WEBSITE, ANY CREDIT CARD COMPANY’S NON-AUTHORIZATION OF YOUR CREDIT CARD PAYMENT, ANY FINANCIAL INSTITUTION’S FAILURE TO HONOR A PAYMENT FOR ANY REASON, ANY LANDLORD’S NON-ACCEPTANCE OF YOUR PAYMENT OR FOR DISRUPTIONS IN SERVICE ON THIS SITE, REGARDLESS OF THE CAUSE. UNDER NO CIRCUMSTANCES WHATSOEVER SHALL AML OR AUTHORIZE.NET BE LIABLE UNDER AND THEORY OF TORT, CONTRACT, STRICT LIABILITY OR OTHER LEGAL THEORY FOR LOST PROFITS, LOST REVENUES, LOST BUSINESS OPPORTUNITIES, EXEMPLARY, PUNITIVE, SPECIAL, INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES, EACH OF WHICH IS HEREBY EXCLUDED BY AGREEMENT OF THE PARTIES, REGARDLESS OF WHETHER SUCH DAMAGES WERE FORESEEABLE OR WHETHER ANY PART OR ANY ENTITY HAD BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Indemnification You agree to indemnify and hold harmless AML and Authorize.net from and against any and all liability, claims, actions, causes of action, losses, damages, demands, suits, judgments, costs and expenses (including attorney’s fees and expenses) of every nature and description arising out of or relating to your use of the Service and this website. Applicable Law By visiting this website and using the Service, you agree that the laws of the State of North Carolina, without regard to its principles of conflict of laws, will govern this Agreement and any dispute of any sort that might arise between you, AML and Authorize.net. I have read and agree to the terms. 1300 Tunnel Rd. :: Asheville NC 28805 :: PH:828.298.3406 Copyright © 2021 Azalea Management & Leasing Website Design & Development by The Web Shepherds