Annual Maintenance Fees

Annual Maintenance Fees

This form is used to pay annual maintenance fees for both Certificants and Affiliates.
We are not accepting maintenance fees at this time. Maintenance fees are accepted from January 1 to September 1.
Are you paying Maintenance Fees for yourself or someone else?

MyselfSomeone Else
Payer Name

First NameLast Name
Certificant or Affiliate Information
Name*

First NameLast Name
Certificant or Affiliate Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select either Certificant Fee or Affiliate Fee option.
Certificant Fee

$100
Affiliate Fee

$40
Certificant Fee plus Late Fee ($50)

$150
Affiliate Fee plus Late Fee ($90)

$90
Certificant Fee plus Penalty Fee ($175)

$275
Affiliate Fee plus Penalty Fee ($175)

$215
Date

MonthDayYear
Date
Fees Due Calculated
Fees Due

prevnext( X )
USDDescription

We are not accepting maintenance fees at this time. Maintenance fees are accepted from January 1 to September 1.