RENE Certification at RACM % %

Payment Information

Please fill out the form Below with your preferred billing method.

Payment Method:(Required)

Bank ACH Bank Transfer

Credit Card / Debit Card

How would you like to pay for your services? We accept ACH bank debit, and all credit cards.

Account Holder Type:

Company

Personal

Deposit Type:

Checking

Saving

Details:

Your Full Name(Required)

Please enter in your name exactly as it appears on your documentation.

Company Name

If this is a company card, please put down the exact name on the card as it is imprinted.

Address(Required)

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

This is the billing address for your debit/credit card or bank mailing address.

Payment Details:

Card Type:(Required)

This is your card type/master issuer.

Credit Card Number(Required)

Exp Date(Required)

2 Digit Month / 4 Digit Year

Security Code(Required)

Billing Telephone Number

Company Name on Bank Account(Required)

Financial Institution Name(Required)

Routing Number:(Required)

Account Number:(Required)

Billing Email Address(Required)

Where you want your monthly receipt to be sent.

RPAC Voluntary Contribution

A voluntary Fair Share contribution of $25.00 to RPAC can be added on top of your first monthly installment ($70 ACH / $75 Credit Card) should you so chose to contribute. If you do not uncheck the box above, the $25.00 will be included with your first payment.

Payment Information

Details:

Payment Details:

REALTOR® Association of Central MAssACHUSETTS

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