EmailMeForm
***Family Membership Agreement
The Power of Working Together
6423 N Foothills Drive
Tucson, AZ 85718
Phone 800 743 4731 - Fax 888 743 4731
Email Address: Info@powt.org
CLICK HERE TO PRINT HARD COPY
or submit on line form below when completed.
Parent requesting planning and funding assistance
*
Full Name
Cell Phone
Personal Email
Parent
Parent requesting planning and funding assistance
Full Name
Cell Phone
Personal Email
Parent
Parent(s) Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Family Members to be included under age 24
Full Name
Date of Birth
Personal Email
Cell Phone
Student
Student
Student
CLICK HERE TO UNDERSTAND "Promise of Value"
*
I understand the PROMISE OF VALUE
*CLICK TO PRINT COPY OF AGREEMENT FOR YOUR RECORDS
(PLEASE SUBMIT FORM BELOW)
**CLICK HERE**
for one SINGLE PAYMENT
Your billing will read *MARKET CONSULTANTS
**CLICK HERE**
to enroll your family MONTHLY
Preferred Enrollment Method is Checking or Savings Account - Make Your Chosen Selection Below
Choose One Please
*
Please select one
Single Payment
Monthly Payment
Please Select
Date
*
MM
/
DD
/
YYYY
Signature ~ Email may be used
*
Submitted on a secure server and a copy of the agreement will be emailed to you for your records. Submission verifies your IP address.
