Please complete this form to sign up for automatic payments for your regular association assessments.

I/we hereby authorize The Vanguard Management Group on behalf of the association named above to initiate entries to my/ our checking or savings account at the financial institution indicated for the purpose of making my/ our association payments to include all future amount changes. I/we also authorize the financial institution to withdraw these payments on or after the 3rd day of each month the assessment is due from my/ our account. I/we understand that this transfer of funds will continue until The Vanguard Management Group receives written notification 15 days before the next transfer effective date. The Vanguard Management Group on behalf of the association may initiate changes in amounts, account information or cancel this authorization.