Required Fields are in blue.

New York City Bar AutoDraft Enrollment Form

The City Bar AutoDraft Payment Plan allows new members & members who are current in their dues to use their preferred credit card (Visa, MasterCard, or American Express) to pay dues automatically in three equal monthly installments. This will ensure that the benefits of your membership will continue to be delivered to you without interruption—and your dues and fees are divided into even more affordable increments.

To participate in the City Bar AutoDraft Payment Plan, simply complete the enrollment form below. Payments will be charged for the first three months after enrollment. Once enrolled, payments will be charged the first three months of each dues period.


First Name: Last Name:
Firm/Organization:
Credit Card Type:
Visa   MasterCard   American Express
Credit Card Number(no spaces, no dashes):
Credit Card Expiration Date [mm/yy]:
Billing Name on cc:
Billing Address on cc:
(Billing Address line 2):
City: State: Zip:
Telephone:
E-mail:

Submission of this document will confirm that I am opting to enroll in the AutoDraft payment program offered by the NYC Bar. Effective the month of my enrollment I hereby authorize the NYC Bar Association to charge my credit card in 3 equal monthly installments for the full amount of my Membership Dues billing and any applicable Admission Fees. I understand my enrollment will remain active until written notification is received by NYCBAR to withdraw from the plan, which I can do at any time.


 
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