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ACH Debit Authorization Form

Please use our form set up automatic payment of association dues or change banking information.  The form must be filled out and scanned and emailed, faxed or mailed it back to Myers, Brettholtz & Company, PA.  Click here to open the pdf.

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Please fill out this form and let us know how we can be of service. We will happily offer you a free consultation to determine how we can best serve you.

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