At least one authorized user must be in a position to legally bind the Covered Business Entity. The business owner must be listed here if he/she wishes to use plan benefits.

I understand that the written contract sets forth the terms of my membership, including any exclusions or limitations, and agree to be bound by the same.

I further understand that the company will send the copy of Membership Application and my Membership number with website login information to me by e-mail within the next Five business days. If I have not received my copy of Application within that time frame, I understand that it is my responsibility to call the AAA LEGAL customer service department at 1-626-586-1130 to obtain a copy.

The written contract, together with this application, constitutes the entire agreement between the company and the member with respect to the membership, and there are no agreements, understandings,warranties or representations other than as set forth herein and in the membership contract.

Request of Cancellation should be noticed by 30 days prior to the first day of your next bill cycle and must be signed by AAA LEGAL, INC. as the purpose of admission.

I hereby acknowledge that on this date, I purchased this plan in the city of__________________________ in the state of_________. By signing this application, I certify l am legally residing in the United States of America.