Enrollment Application

Please See Member Fee Payment Options Below:

Pay with Credit Card

  Individual Family Plan
Monthly Only $8.00 $12.00

There is a one time application fee of $20.00.

Credit Card Application

Pay with Bank Draft

  Individual Family Plan
Monthly Only $8.00 $12.00

There is a one time application fee of $20.00.

Enroll Now

Pay with Check or Money Order

  Individual Family Plan
Annual Only $96.00 $144.00

There is a one time application fee of $20.00.

Printable Application

Are you sure?