Renewal Payment

If your Membership has expired, please complete and return this page by email, fax or mail. Mail payments to:                   

Landlord Connection, Inc

PO Box 1387

Merrimack NH 03054

Or you can fax to:  603-424-4032 or email: LLCONNECT@comcast.net

 

NOTE:  If your membership expired more than two years ago, you must complete, an updated Membership Agreement, Proof of Ownership and provide a copy of your PHOTO ID before we can activate your account. 

I wish to renew my Membership with the Landlord Connection, Inc. for the next 12 months.

Name:___________________________________________________

Company Name:___________________________________________

Email:_________________________

TAX ID (REQUIRED TO REQUEST CREDIT INFORMATION): 

Membership Plan:

1- 50 units: ($50.00):_______ Over 50 units ($100.00) _________ 

Payment Method:

Credit Card:  Visa ___     Mastercard ____  Discover ____ AMEX___

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:______________