Now accepting credit cards!
Avoid the late fees and use this form to automatically charge your monthly fees or just charge a one-time fee!

All information will remain confidential!

Contact Terri Crawford for a hard copy of this form if you prefer to fax please send to EFAX 805-212-3215.

If you prefer to email please contact terricrawford@outlook.com.

This form is also located in Forms & Documents at www.remaxgoldcoast.com.

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