AFFINITY BENEFIT REGISTRATION IS AS SIMPLE AS 1 –
2 – 3!
your Affinity Benefits Group from the drop down list below.
If your group does not appear in the list, simply select "Other"
from the drop down list and then type your group name in
the "Other" field.
TWO: Complete the simple "Registration
Form" to the right. Please note that all fields marked
with an asterisk (*) must be filled in for successful submission.
THREE: When the form is completed simply
press the "Register Me" button at the bottom of
Alternatively, to mail or fax
your registration form, please
You will be taken to a printer-friendly version of our registration