MVMLS Payment Form

REALTOR® Member Non-REALTOR® Member

$99.00 Quarterly $123.00 Quarterly

This secure form is used to collect credit card payment information for authorized charges made by the Martha's Vineyard Multiple Listing Service (MVMLS).

First & Last Name (of who payment should be applied) *

Office Name *

Phone Number *

Email Address *

MLS Auto Pay *

YES, sign me up for MLS Auto Pay! By checking this box, I hereby authorize the Martha's Vineyard Multiple Listing Service to make recurring charges for quarterly MLS fees to my Credit Card listed above, and, if necessary, to initiate adjustments for any transactions credited/debited in error. Charges will recur on March 1st, June 1st, Sept 1st and Dec 1st annually. This authority will remain in effect until the Martha's Vineyard Multiple Listing Service is notified by me in writing at least two weeks (14 days) before the recurring credit card charge date to cancel it.

NO, do not sign me up for MLS Auto Pay.

Payment Information

Name on Card *

BIlling Address *

Billing Address Line 2

Billing City *

Billing State *

Billing Zip Code *

Credit Card Type *

Credit Card Number *

Expiration Date *

Signature:
I hereby authorize the Martha's Vineyard Multiple Listing Service, Inc. to make authorized charges to my Credit Card listed above, and, if necessary, initiate adjustments for any transactions credited/debited in error. *

clear

Use your mouse or finger to draw your signature above