Want to see specifics?   Click on the Membership Agreement above to see the complete Membership Agreement Terms.


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Online Application Instructions:

The application form at right is a downloadable and fillable form.  To use the form, follow these instructions:


Membership Agreement


You cannot submit your form or pay your membership fees online.  Your signed and completed form with your payment must be mailed and received by us before your membership becomes effective.  Unsigned applications, applications with no payment, or payments with no application, will not be accepted.

  1.  Click on the application at right.

  2.  Save the application to your computer.

  3.  Once saved, complete the entire application form on your computer.

  4.  Print the completed application.

  5.  Sign the completed application at the bottom.

  6.  Mail the signed application with your payment of $59.00.

  7.  KEEP the 2nd page (Agreement) for your records.

  We accept personal checks, money orders, Visa, MasterCard or Discover.

LifeCare Application