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Add a Member
Fill out this form to add a member to your contract.
"
*
" indicates required fields
Primary Member
*
First Name
Last Name
Email
*
New Member
*
First Name
Last Name
New Member Date of Birth
*
MM slash DD slash YYYY
New Member Phone Number
*
Type of Membership
*
Non Contract
1 Year Auto Debit
2 Year Auto Debit
Choose your membership type.
*Additional member is
obligated by contract
to remaining months on primary's account before cancellation is approved.
Digital Signature
*
By checking this box I am affirming that I am the primary member on my contract and have the authority to add members to the contract.
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