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.

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.

Accept Requirements(Required)

By agreeing to this transfer you: You are the legal party to allow such transfers. Understand that automatic transfers for existing and future charges will be placed on this payment method. Any overdraft, late fee's or bank fee's due to issues encountered are your responsibility.

Payment Information

Details:

Payment Details:

REALTOR® Association of Central MAssACHUSETTS

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