Payment Consent Form We need to know how you are Selecting to Pay your Fees. By completing this payment option form I am instructing Acri Community Realty of my intention to pay my Associations monthly assessment in the following manner. If I change my options I understand my property manager must be notified. (all changes may take up to 30 days to take effect) Name* First Last Email* PhoneMy property manager's name is:Association Name*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I elect to pay my fees in the following manner (choose one)*Monthly Payment Book -Please order coupons for I am responsible for the book feee-Check or Credit card payment from duespayment.com. I will be responsible for initiating this payment. Coupon books will not be provided.Personal Online Banking. I will be responsible for initiating this monthly payment. Coupon book will not be provided.By Checking this box I aggree that at any time if I choose to change my method of payment I will notify the management company.* I agree to notify Acri Realty of any changes NameThis field is for validation purposes and should be left unchanged.