One-time On-line Credit or

Debit Card Payment Form

 

 

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:



Additional information

You can request future bills be charged to your card and enjoy all the benefits of automatic on-time discounts automatically. Just be sure to check the box below before you click the SUBMIT button.

Click here if you would like to have future bills automatically charged to this credit card number:

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