ThePlan Online Enrollment Form

Please provide the following membership information:

ThePlan uses your Last Name and the last 6 numbers of your Social Security Number to identify members.  If you are concerned about sending this information over the Net just dial 1 800 THE PLAN and we will enroll you via telephone.

Please provide the following contact information:  

* denotes required fields

*First Name

*Last Name

Last 6 digits Social Security #

 Last 6 digits only, No spaces

*Street Address

Address (cont.)

*City

*State/Province

*Zip/Postal code
Country
*Daytime Telephone
*Expecting a new area code?

Home Number

*Email Address
Please provide the following vehicle information required for the Vehicle Recovery Plan.

Vehicle Year

Vehicle Make

 (i.e. Ford, Lincoln)

Vehicle Model

 (i.e. Taurus, Town Car)

Vehicle Color

Membership Amount

Source Code
Required for Discount.
Please provide the following payment information:
Cardholder name
Credit card
Card number
Expiration date Month: Year:
Your Comments Please...
Your membership kit will contain a form for you to return with additional information.

Enrollment Options...

  1. Complete this form and call 1-800-THE-PLAN
    Please have a pencil, paper and major credit card handy.

  2. Complete this form and click on the SUBMIT button
    Your enrollment form will be immediately processed and your membership materials shipped.

  3. Complete this form and fax it, 24 hours a day to 1-718-961-6101.
    Or mail it to our headquarters at:

The Consumer's Action Plan™
Enrollment Department
146-23 61 Road
Queens NY 11367-1203

 

The Future Belongs to Those Who Plan. Call 1-800-THE-PLAN.
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Updated: August 01, 2003
Muniz Associates,Webmasters

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