autopayment 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. Please enable JavaScript in your browser to complete this form.Personal InformationLayoutMembers Full Name *Phone Number *LayoutBank Name *Routing number *Example 051000017: 004128123456:_____________________ 051000017 is routing numberAccount number *Example 051000017: 004128123456: _____________________004128123456 is account numberName as shown on the Account *Terms and ConditionsCheckboxes *I give HMAS permission to automatically charge my bank account on file for all contribution bills.Checkboxes (copy)I agree to receive email and text messages for the receipt.ይህንን ፎርም ከሞሉ በኋላ ክፍያዎን መላክ የለቦትም። ክፍያውን በቀጥታ ከፈቀዱልን አካውንት ወስደን ደረሰኝ እንልክሎታለን።Applicant's Signature *Clear SignatureDate *Submit
