This form should be used by HMAS members who want to set up recurring payments for their dues. HMAS will automatically charge your card and give you a receipt.

Personal Information

Example 051000017: 004128123456:_____________________ 051000017 is routing number
Example 051000017: 004128123456: _____________________004128123456 is account number

Terms and Conditions

ይህንን ፎርም ከሞሉ በኋላ ክፍያዎን መላክ የለቦትም። ክፍያውን በቀጥታ ከፈቀዱልን አካውንት ወስደን ደረሰኝ እንልክሎታለን።

Clear Signature