________________
Office
MLS ID
I __________
________________________ hereby authorize MARIS to charge the
(Print Member Name)
followi
ng credit card below for the following fees:
$250.00 Participation fee
and
$90.00 Quarterly MLS fee or a prorated fee of $ __________
$____________Total MLS amount to be charged
CC#_________________________________________ EXP DATE _____________
(AMEX, MasterCard, Visa, Discover)
My signature below acknowledges that I am authorizing MARIS to charge my card
the above specified MLS membership fees amount. If there are any discrepancies I
understand that I am to contact MARIS directly for further explanation.
___________
__________________________ _________________________
Applicant Signature Date
AUTO PAYMENT OPTION – check box and sign below: I hereby authorize MARIS to
charge the above credit card each quarter for my MLS fees, until further written
notice by me. I understand that it is my responsibility to notify MARIS of any change
to my charge card, i.e., expiration date, charge card type, etc.
_____________
_________________________ ____________________________
Applicant Signature Date
1716 Hidden Creek Ct, Suite 150
St. Louis, MO 63131
Ph: 314-984-9111 Fax: 314-984-8848
membership@marismls.com
Participation Agreement
/ MLS Fee Credit Card Payment
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
