If your Membership has expired and you prefer to pay your Renewal fee by
credit card please complete and return this page by fax or mail.
I wish to renew my Membership with the Landlord Connection, Inc. for the
next 12 months.
Name:___________________________________________________
Company Name:___________________________________________
Membership Plan: Over 50 units: ($100.00):________Standard ($55.00)
_________ Limited ($40.00)_________
Credit Card: Visa ___ Mastercard
____ Discover ____
Cardholder's Name (as it appears on credit card: __________________________________________
Billing Address: _________________________________________City:
__________________ State:______ Zip: ______
Card Number:___________________________Expiration Date:__________ Three
Digit Code:_________ Amount:__________
By signing below, I authorize Landlord Connection, Inc. to bill my
account for the amount listed above:
Authorization Signature:___________________________________ Date: ______________
Mail credit payments to: Or you can fax to: 603-424-4032 Attn: Membership Dept.
Landlord Connection, Inc
PO Box 6056
Nashua NH 03063