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*
Phone
My property manager's name is:
Association Name*
Address*
Street Address City 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 fee
- e-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
Name
This field is for validation purposes and should be left unchanged.