Co-Owner Payment Form

Please complete this payment form for your 2004 co-owner investment in AI Consulting. First, read the Operating Agreement then print and sign the Signature Page and mail it to:

AI Consulting
5411 41st Street NW
Washington, DC 20015, USA
There are three ways you can pay.

To pay by check, check the appropriate box, fill in your contact information, print the form and mail it with your check made out to AI Consulting and your signed signature page.

To pay by Wire Transfer, fill out this form, print it and mail it with your signed signature page to AI Consulting. Submit your payment to the account listed below.

AIC Account #: 970080777
Routing #: 052000113
Bank: M&T Bank
Address: 25 S. Charles Street, Baltimore, MD 21201, USA

To pay by credit card, fill out the form with the credit card information and press submit and the information will be sent by secure transaction to AIC.

Select payment amount:

International and US, new co-owner, pay in full $600 + $100 fee = $700
Current co-owner pay annual fee in full $600 = $600
Developing Country rate, new co-owner, $100 + $100 = $200
Developing Country rate, current co-owner annual fee $200 = $200
Complete contact information:
Name
Work Phone
Work email
Select payment method: I will transfer my payment by wire. My check is enclosed. I will pay by Credit Card
Credit Card Type:	Visa Mastercard
Credit Card Number:	3 digit security code:
Expiration Date:
Name on Card
Address
City
State/Province/Region
Zip/Postal Code
Country

If you are paying by check or wire transfer, print this page after you have filled it out and mail your payment and completed form to AI Consulting at the address above.

For more information contact Ada Jo Mann, Managing Co-owner, aj@aiconsulting.org.

Home Trustees Alliances Inquiry Clusters Centres Support Co-Owner Profile Find a Co-owner Help