Automatic Monthly Direct Payment

For Credit or Debit Card Account Form
 (Account must be up-to-date to use this feature)

NOTICE: Information submitted via this form is encrypted before transmission to ensure security.

Please use this form to pay your RMLD bill with a valid Visa, MasterCard, American Express or Discover credit card.

In order to process your request, we will need all the information indicated below by an asterisk(*).

Customer Information
*Customer name:



*E-mail address:



Phone:



SSN or MA drivers license number:



Electric service location
*Address:



*City, State and ZIP:
(Please choose one)



*Account number:



Credit card information
*Amount paid:



*Card number:

*Card type:



*Name on card:



*Expiration date:



 
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