You are able to join for free and there is no membership to renew. Once we have reached 1,000 members, we will start invoicing for the 20.00 USD per month maintenance fee. You can get more information about the maintenance fee on the Program page. As long as you keep your monthly maintenance current and do not miss any 'passing' donations, you will have the full benefit of The Life Assurance Co-Op program.

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Fill out the Form we have provided below.

LAC Membership Registration

Note: An email address can only be registered ONE time.

 
User Name:
 This must be a unique value.
 
Password:
 
Re-enter password:
 
Email:
   Please enter a valid email address.
 
First Name:
 
Middle Name:
 
Last Name:
 
Address 1:
 
Address 2:
 
City:
 
State:
 
Zip:
 
Main Phone:
 
Second Phone:
 
Fax Number:
 
Gender:
 
Marital Status:
 
Date of Birth:
   
 
Year/Initials:
   57/JAD for John A. Doe born 1957
 
Number of Children:
 
Notes:
 
LALM Sytem ID:
 2093516913  This is NOT your LAC Member ID
 
Member Group:
 
Access Level:
 User
 
Account Status:
 Pending Activation
 
Date of Entry:
 8/28/2008

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