RECO Credit Card Form

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					                                 CREDIT CARD PAYMENT

       Name(s) of Applicant(s) – please print                Registration Number         Fee
1.

2.
Please debit this amount from my credit card                              TOTAL CDN$



Name of Cardholder (if different from above)




Check appropriate box:        MasterCard  Visa
Card#                                                            Valid        Month    Year
                                                                 From:
                                                                 Good         Month    Year
                                                                 Thru:

 Signature                                                Date



Attach this payment form with the application(s).




                                    Real Estate Council of Ontario
                                    3250 Bloor Street West, 6th Floor
                                      Toronto, Ontario M8X 2X9
                                          Tel: (416) 207-4800
                                         Fax: (416) 207-4820
                                       Toll Free: 1-800-245-6910

				
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