ACH (DIRECT DEBIT) FORM

You can now put your monthly association fee payments on "Automatic" and save both time and money. Electronic funds transfer is a process that allows you to make a payment from your checking or savings account without writing a check. There is no additional charge for this service.

No checks to write, stamps and envelopes to buy or trips to the mail box. Your payment is made on time even if you are away. No chance of postal delays and each payment is recorded on your bank account.

If you would like to "Automatically" pay your monthly association fees, simply complete the authorization below and return this letter, along with a voided check or deposit ticket from the account you would like this payment to be made from. *** DO NOT USE A DEPOSIT SLIP IF PAYMENT WILL BE MADE FROM A CHECKING ACCOUNT.*** Please return both to the address listed on the bottom of this form. If your request is received by the 15^th of the month it will be processed for the following month.

AUTOMATED CLEARING HOUSE (DIRECT DEBIT)

ELECTRONIC FUNDS TRANSFER AUTHORIZATION

Select One:                [  ] ADDITION                 [  ] CHANGE                 [  ] DELETION 

Until further notice, this authorizes CFM Management Services to charge my checking_____ or savings_____ (please check one) account for my association fee payment. I understand that I should continue to remit payments until I receive a written confirmation that automatic payments will begin. This authorization will remain in effect until revoked by me in writing.

Signature: _________________________________  Date:__________________________

Signature: _________________________________ Date:__________________________

                        (If joint account)

 E-mail Address:____________________________    Daytime phone No.(____) _________

PLEASE DON'T FORGET TO ENCLOSE YOUR VOIDED CHECK OR DEPOSIT TICKET.

5250 Cherokee Avenue · Suite 100 · Alexandria, Virginia 22312-2063 ·  (703) 941-0818 · (703) 941-0816 Facsimile

www.CFMManagement.com.