PROTECTION, SECURITY, AND PEACE OF MIND

Transcription

1 AFS Liberty Package Upgrade Options CAREINGTON ADVANTAGEÊCARD: $20 Monthly HOSPITALÊADVANTAGEÊCARD: $15 Monthly ASSOCIATIONÊRxÊCARD AdministeredÊbyÊEnvisionÊRxOptions Individual $13.95 Monthly Family $23.95 Monthly Please list Primary Card Holder Name: Check all individuals to be covered on the Association Rx Card (children 19 to 23 must be full-time students). Refer to list of covered individuals on the front of the application to match with the corresponding number. I authorize the Association, the Pharmacy Services Administrator and its participating pharmacies to share only information necessary to the fulfillment of prescriptions. NOTE: Pricing and tier position are subject to change without notice. Tier position and pricing are only for quantities stated, additional quantities may incur higher costs. Association Rx Card is not insurance. This application is not a contract. For complete details, consult your fulfillment materials. Additional benefits may not be available in all states or in all areas. ID cards and fulfillment materials will be sent separately from your AFS Welcome Packet. AFS Liberty Membership Benefit Guide Here s a complete list of benefits offered to AFS Liberty Members. To get more information on any benefit, visit and enter the benefit keyword flowers.com PetMeds 24PetWatch Pet Insurance Programs ADP EasyPay AFS PremierPoints AFS Scholarship Program Amusement Park Discounts Angie s List Association Rx Card A-Systems Accounting Software Background Screening Services Budget Rent-A-Car Careington Advantage Card Careington Discount Dental Plan CVS Caremark ExtraCare Health Card Direct Labs Enterprise Rent-A-Car E&O Coverage EPIC Hearing Service Plan Fast Collect FedEx and FedEx Office Financial Education & Credit Counseling Freight Savings Program (MESCA) Global Emergency Services Grocery Coupon Order Book Hertz Hewlett-Packard Hospital Advantage Card Hotel Access Card Hotel Savings Program Flowers PetMeds PetCare ADP Rewards Scholarship Parks Angie Roadside Rx Card A-Systems Background Check Budget Advantage Card Dental ExtraCare Labs Enterprise E&O Hearing Fast Collections FedEx Financial Freight Assist Grocery Hertz HP Hospital Card Hotel Access Hotel Savings TaxÊSavingsÊPrograms Yes, I am self-employed or a business owner, and want to learn more about these tax savings programs. MULTI-APP AFS-SALES BROCHURES_FINAL indd Instant Care Jones International University (JIU ) Legal Club of America Family Legal Club of America Small Business Mail Service Pharmacy MetLife Auto & Home Insurance Movie Ticket Discounts My Notification Service NCSPlus Incorporated North American Van Lines One Call Medical Online Shopping Discounts Payment Processing Solutions by Solveras Penny-Wise Office Products Pitney Bowes PODS Porteck Health Networks PowerNet Global Printing Services at Burns Graphics, Inc. ProTalk Small-Business Consultants ProTax Online CPAs QuickBooks Save on Real Estate Transactions Sylvan Learning Tax Savings Programs Technical Solutions TributeDirect Triple Credit Monitoring TurboTax Online Vision Discount Plan ID Theft Care JIU Legal Family Legal Business Mail Rx Auto and Home Movie My Notify NCS Moving One Call Shopping Payments Penny-Wise Postage PODS Porteck PowerNet Printing ProTalk ProTax QuickBooks Real Estate Sylvan Tax Savings Technical Teladoc TributeDirect Triple Credit TurboTax Vision PROTECTION, SECURITY, AND PEACE OF MIND LIBERTY PACKAGE :41:27 PM

2 ABOUT AMERICANS FOR FINANCIAL SECURITY AFS Liberty Package Application QUICK START GUIDE LibertyÊMembershipÊÑÊ$30ÊMonthlyÊ (AFS) is a nationwide association dedicated to the idea that everyone deserves access to savings and advantages, whether or not they are part of a large corporation. Save money on a variety of everyday expenses Provide protection for life s unexpected emergencies Grow a business or career with a competitive edge Compare the Value of Membership With the association s strength in numbers, AFS is able to obtain benefits at reduced rates and pass the savings along to members. In fact, a recent independent pricing study1 verified that AFS Members can save hundreds by joining the association versus purchasing services on their own. Here are just a few examples: $360 per year, plus $20 per consultation Legal Club of America Family Plan Assist America $385 per year Careington Discount Dental3 2 Total Retail Cost: $1,333 per year With the AFS Liberty Package, access to these benefits is included in your membership without additional cost. With annual dues of only $360 per year, it s easy to see how much you can save by joining AFS and providing these valuable benefits for yourself and your family. Retail comparisons are based on an independent pricing study completed in November Benefit availability is dependent on package option, vendor, and member s state of residence, and may be subject to change. 2Teladoc is not available in OK. 3Careington Discount Dental is not available in MT and VT. 1 This membership is offered and administered by, an association formed under the laws of the District of Columbia. AFS membership is not an insurance contract, and includes access to insured and non-insured benefits. This publication is intended for AFS members exclusive use. Benefits explained herein are offered at AFS s sole discretion, and may vary by availability, package option, vendor, and members state of residence. Limitations and restrictions may apply. Vendors reserve the right to withdraw or change their offers without notice. Benefit descriptions have been taken from benefit providers marketing materials; members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services, and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing with dues paid current. (orêseeêgroupêform) Address You will receive your member number via immediately after submitting your online application or after your paper application is processed. Please make sure you provide a valid address so you will receive your new member information and ongoing updates about your AFS benefits. If you do not receive your member number via , call AFS Member Services at for assistance. AFS focuses on providing benefits that help members: First Name 1. Last Name Step One Record Your AFS Member Number on Your Temporary Member Card Protection, Security, and Peace of Mind for You and Your Family MembershipÊStartÊDate:ÊÊ(mmddyyyy)Ê Follow these easy steps to access your benefits One-timeÊAssociationÊAdministrationÊFeeÊÑÊ$25 City Phone State ( ) ZIP Date of Birth (mmddyyyy) Address Note: Dependents age 19 to 24 must be full-time students. Age requirements for some benefits may vary. Your new member welcome packet with your detailed benefit guide and member card will arrive in 7-10 business days after your membership is processed or after your chosen Membership Start Date. If you purchase upgrade options, such as the Careington Advantage Card, Hospital Advantage Card, or Association Rx Card, those materials will arrive separately. Step Two Sit Back and Relax AFS will do the work and activate several of your benefits for you, such as: for you and all family members, 16 years and older, listed on your application Global Emergency Services from Assist America I wish to make application for membership in (AFS). I understand benefits are offered at the sole discretion of AFS and may vary by availability, vendor, or state of residence of the Member. Vendors reserve the right to withdraw or change their offers without notice. The benefit descriptions have been taken from the benefit providers marketing material and members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing and dues must be paid current. AFS does not verify eligibility status on benefits. Each vendor has the responsibility and right upon claims or services submitted against a benefit to honor or deny service. All information collected by the Field Service Representative in connection with this application for Membership is utilized solely for the purpose of providing Association benefits. Monies collected prior to cancellation are non refundable. Should I choose to cancel my AFS Membership, I understand I must contact AFS at or write to AFS at P.O. Box , Irving, TX or via facsimile to Careington Discount Dental Plan (your cards will arrive separately from your AFS Welcome Packet) 3 Step Three Activate Additional Benefits* Some of your benefits require that you take action to activate or register, such as: TeladocSM2 register and complete your medical history disclosure online PremierPoints Rewards activate your account and redeem your Rewards Cash Online Shopping Discounts register and start saving up to 60% at hundreds of retail partners Print FSR Last Name, First Initial Triple Credit Monitoring Register for the low member rate of just $4.50 per month and protect your hardearned credit score; similar programs retail for $15 per month you save up to 70% GroupList BillÊÑ see attached Group Form; do not provide payment information requested below. InitialÊpayment: To access and activate all these benefits and more visit and follow the simple steps to set up your account and log in to the member area. Need help? You can contact Member Services online at or call Representatives are available to assist you 7:00 a.m. to 5:30 p.m. CT. EnclosedÊAFSÊCreditÊ CardÊAuthorizationÊForm ElectronicÊcheckÊ OngoingÊpaymentÊoption: IfÊdraftÊpaymentÊoptionÊisÊselected,ÊtheÊapproximateÊdayÊofÊtheÊmonthÊforÊongoingÊdraftsÊwillÊbeÊbasedÊuponÊyourÊselectedÊMembershipÊStartÊDate.ÊMembershipÊ StartÊDatesÊofÊtheÊ29th,Ê30th,ÊorÊ31stÊwillÊresultÊinÊaÊdraftÊdayÊofÊtheÊ28th. * NOTE: Before using these benefits, please allow up to two business days from the date your application is processed or from your Membership Start Date for the vendors to receive your membership and eligibility information. P.O. Box Irving, TX Member Services Fax :00 a.m. to 5:30 p.m. CT Monday - Friday EnclosedÊcheckÊ AMERICANSÊFORÊFINANCIALÊSECURITYÊ(AFS),ÊP.O.ÊBoxÊ141268,ÊIRVING,ÊTXÊ I authorize above named company to debit entries to my account with the Depository named below. AFS Member Payment Receipt This payment is for the one-time Association administration fee, current membership dues, and initial payment for any upgrade options purchased. The Field Service Representative does not have the authority to make, alter, or amend any contracts. Membership is effective when received and made active by the Association per the selected Membership Start Date referenced on the application. w w w. A F S we b s i t e. o r g AFS-SALES BROCHURES_FINAL indd 1 w w w. A F S we bsite.org Monthly Field Service Representative Signature FSR Number FSR Phone # ÖƒöW[ä Method of Payment: CheckMoney Order Credit Card Electronic Check $ Received from Date Amount Member Number Quarterly PayorÊSignature Annually Plus upgrade options selected on the reverse side. MULTI-APP :41:24 PM

3 ABOUT AMERICANS FOR FINANCIAL SECURITY AFS Liberty Package Application QUICK START GUIDE LibertyÊMembershipÊÑÊ$30ÊMonthlyÊ (AFS) is a nationwide association dedicated to the idea that everyone deserves access to savings and advantages, whether or not they are part of a large corporation. Save money on a variety of everyday expenses Provide protection for life s unexpected emergencies Grow a business or career with a competitive edge Compare the Value of Membership With the association s strength in numbers, AFS is able to obtain benefits at reduced rates and pass the savings along to members. In fact, a recent independent pricing study1 verified that AFS Members can save hundreds by joining the association versus purchasing services on their own. Here are just a few examples: $360 per year, plus $20 per consultation Legal Club of America Family Plan Assist America $385 per year Careington Discount Dental3 2 Total Retail Cost: $1,333 per year With the AFS Liberty Package, access to these benefits is included in your membership without additional cost. With annual dues of only $360 per year, it s easy to see how much you can save by joining AFS and providing these valuable benefits for yourself and your family. Retail comparisons are based on an independent pricing study completed in November Benefit availability is dependent on package option, vendor, and member s state of residence, and may be subject to change. 2Teladoc is not available in OK. 3Careington Discount Dental is not available in MT and VT. 1 This membership is offered and administered by, an association formed under the laws of the District of Columbia. AFS membership is not an insurance contract, and includes access to insured and non-insured benefits. This publication is intended for AFS members exclusive use. Benefits explained herein are offered at AFS s sole discretion, and may vary by availability, package option, vendor, and members state of residence. Limitations and restrictions may apply. Vendors reserve the right to withdraw or change their offers without notice. Benefit descriptions have been taken from benefit providers marketing materials; members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services, and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing with dues paid current. (orêseeêgroupêform) Address You will receive your member number via immediately after submitting your online application or after your paper application is processed. Please make sure you provide a valid address so you will receive your new member information and ongoing updates about your AFS benefits. If you do not receive your member number via , call AFS Member Services at for assistance. AFS focuses on providing benefits that help members: First Name 1. Last Name Step One Record Your AFS Member Number on Your Temporary Member Card Protection, Security, and Peace of Mind for You and Your Family MembershipÊStartÊDate:ÊÊ(mmddyyyy)Ê Follow these easy steps to access your benefits One-timeÊAssociationÊAdministrationÊFeeÊÑÊ$25 City Phone State ( ) ZIP Date of Birth (mmddyyyy) Address Note: Dependents age 19 to 24 must be full-time students. Age requirements for some benefits may vary. Your new member welcome packet with your detailed benefit guide and member card will arrive in 7-10 business days after your membership is processed or after your chosen Membership Start Date. If you purchase upgrade options, such as the Careington Advantage Card, Hospital Advantage Card, or Association Rx Card, those materials will arrive separately. Step Two Sit Back and Relax AFS will do the work and activate several of your benefits for you, such as: for you and all family members, 16 years and older, listed on your application Global Emergency Services from Assist America I wish to make application for membership in (AFS). I understand benefits are offered at the sole discretion of AFS and may vary by availability, vendor, or state of residence of the Member. Vendors reserve the right to withdraw or change their offers without notice. The benefit descriptions have been taken from the benefit providers marketing material and members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing and dues must be paid current. AFS does not verify eligibility status on benefits. Each vendor has the responsibility and right upon claims or services submitted against a benefit to honor or deny service. All information collected by the Field Service Representative in connection with this application for Membership is utilized solely for the purpose of providing Association benefits. Monies collected prior to cancellation are non refundable. Should I choose to cancel my AFS Membership, I understand I must contact AFS at or write to AFS at P.O. Box , Irving, TX or via facsimile to Careington Discount Dental Plan (your cards will arrive separately from your AFS Welcome Packet) 3 Step Three Activate Additional Benefits* Some of your benefits require that you take action to activate or register, such as: TeladocSM2 register and complete your medical history disclosure online PremierPoints Rewards activate your account and redeem your Rewards Cash Online Shopping Discounts register and start saving up to 60% at hundreds of retail partners Print FSR Last Name, First Initial Triple Credit Monitoring Register for the low member rate of just $4.50 per month and protect your hardearned credit score; similar programs retail for $15 per month you save up to 70% GroupList BillÊÑ see attached Group Form; do not provide payment information requested below. InitialÊpayment: To access and activate all these benefits and more visit and follow the simple steps to set up your account and log in to the member area. Need help? You can contact Member Services online at or call Representatives are available to assist you 7:00 a.m. to 5:30 p.m. CT. EnclosedÊAFSÊCreditÊ CardÊAuthorizationÊForm ElectronicÊcheckÊ OngoingÊpaymentÊoption: IfÊdraftÊpaymentÊoptionÊisÊselected,ÊtheÊapproximateÊdayÊofÊtheÊmonthÊforÊongoingÊdraftsÊwillÊbeÊbasedÊuponÊyourÊselectedÊMembershipÊStartÊDate.ÊMembershipÊ StartÊDatesÊofÊtheÊ29th,Ê30th,ÊorÊ31stÊwillÊresultÊinÊaÊdraftÊdayÊofÊtheÊ28th. * NOTE: Before using these benefits, please allow up to two business days from the date your application is processed or from your Membership Start Date for the vendors to receive your membership and eligibility information. P.O. Box Irving, TX Member Services Fax :00 a.m. to 5:30 p.m. CT Monday - Friday EnclosedÊcheckÊ AMERICANSÊFORÊFINANCIALÊSECURITYÊ(AFS),ÊP.O.ÊBoxÊ141268,ÊIRVING,ÊTXÊ I authorize above named company to debit entries to my account with the Depository named below. AFS Member Payment Receipt This payment is for the one-time Association administration fee, current membership dues, and initial payment for any upgrade options purchased. The Field Service Representative does not have the authority to make, alter, or amend any contracts. Membership is effective when received and made active by the Association per the selected Membership Start Date referenced on the application. w w w. A F S we b s i t e. o r g AFS-SALES BROCHURES_FINAL indd 1 w w w. A F S we bsite.org Monthly Field Service Representative Signature FSR Number FSR Phone # ÖƒöW[ä Method of Payment: CheckMoney Order Credit Card Electronic Check $ Received from Date Amount Member Number Quarterly PayorÊSignature Annually Plus upgrade options selected on the reverse side. MULTI-APP :41:24 PM

4 ABOUT AMERICANS FOR FINANCIAL SECURITY AFS Liberty Package Application QUICK START GUIDE LibertyÊMembershipÊÑÊ$30ÊMonthlyÊ (AFS) is a nationwide association dedicated to the idea that everyone deserves access to savings and advantages, whether or not they are part of a large corporation. Save money on a variety of everyday expenses Provide protection for life s unexpected emergencies Grow a business or career with a competitive edge Compare the Value of Membership With the association s strength in numbers, AFS is able to obtain benefits at reduced rates and pass the savings along to members. In fact, a recent independent pricing study1 verified that AFS Members can save hundreds by joining the association versus purchasing services on their own. Here are just a few examples: $360 per year, plus $20 per consultation Legal Club of America Family Plan Assist America $385 per year Careington Discount Dental3 2 Total Retail Cost: $1,333 per year With the AFS Liberty Package, access to these benefits is included in your membership without additional cost. With annual dues of only $360 per year, it s easy to see how much you can save by joining AFS and providing these valuable benefits for yourself and your family. Retail comparisons are based on an independent pricing study completed in November Benefit availability is dependent on package option, vendor, and member s state of residence, and may be subject to change. 2Teladoc is not available in OK. 3Careington Discount Dental is not available in MT and VT. 1 This membership is offered and administered by, an association formed under the laws of the District of Columbia. AFS membership is not an insurance contract, and includes access to insured and non-insured benefits. This publication is intended for AFS members exclusive use. Benefits explained herein are offered at AFS s sole discretion, and may vary by availability, package option, vendor, and members state of residence. Limitations and restrictions may apply. Vendors reserve the right to withdraw or change their offers without notice. Benefit descriptions have been taken from benefit providers marketing materials; members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services, and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing with dues paid current. (orêseeêgroupêform) Address You will receive your member number via immediately after submitting your online application or after your paper application is processed. Please make sure you provide a valid address so you will receive your new member information and ongoing updates about your AFS benefits. If you do not receive your member number via , call AFS Member Services at for assistance. AFS focuses on providing benefits that help members: First Name 1. Last Name Step One Record Your AFS Member Number on Your Temporary Member Card Protection, Security, and Peace of Mind for You and Your Family MembershipÊStartÊDate:ÊÊ(mmddyyyy)Ê Follow these easy steps to access your benefits One-timeÊAssociationÊAdministrationÊFeeÊÑÊ$25 City Phone State ( ) ZIP Date of Birth (mmddyyyy) Address Note: Dependents age 19 to 24 must be full-time students. Age requirements for some benefits may vary. Your new member welcome packet with your detailed benefit guide and member card will arrive in 7-10 business days after your membership is processed or after your chosen Membership Start Date. If you purchase upgrade options, such as the Careington Advantage Card, Hospital Advantage Card, or Association Rx Card, those materials will arrive separately. Step Two Sit Back and Relax AFS will do the work and activate several of your benefits for you, such as: for you and all family members, 16 years and older, listed on your application Global Emergency Services from Assist America I wish to make application for membership in (AFS). I understand benefits are offered at the sole discretion of AFS and may vary by availability, vendor, or state of residence of the Member. Vendors reserve the right to withdraw or change their offers without notice. The benefit descriptions have been taken from the benefit providers marketing material and members should carefully examine benefit information before choosing any benefit. AFS makes no affirmation of fact or promise relating to the goods and services and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to AFS benefits, you must be a member in good standing and dues must be paid current. AFS does not verify eligibility status on benefits. Each vendor has the responsibility and right upon claims or services submitted against a benefit to honor or deny service. All information collected by the Field Service Representative in connection with this application for Membership is utilized solely for the purpose of providing Association benefits. Monies collected prior to cancellation are non refundable. Should I choose to cancel my AFS Membership, I understand I must contact AFS at or write to AFS at P.O. Box , Irving, TX or via facsimile to Careington Discount Dental Plan (your cards will arrive separately from your AFS Welcome Packet) 3 Step Three Activate Additional Benefits* Some of your benefits require that you take action to activate or register, such as: TeladocSM2 register and complete your medical history disclosure online PremierPoints Rewards activate your account and redeem your Rewards Cash Online Shopping Discounts register and start saving up to 60% at hundreds of retail partners Print FSR Last Name, First Initial Triple Credit Monitoring Register for the low member rate of just $4.50 per month and protect your hardearned credit score; similar programs retail for $15 per month you save up to 70% GroupList BillÊÑ see attached Group Form; do not provide payment information requested below. InitialÊpayment: To access and activate all these benefits and more visit and follow the simple steps to set up your account and log in to the member area. Need help? You can contact Member Services online at or call Representatives are available to assist you 7:00 a.m. to 5:30 p.m. CT. EnclosedÊAFSÊCreditÊ CardÊAuthorizationÊForm ElectronicÊcheckÊ OngoingÊpaymentÊoption: IfÊdraftÊpaymentÊoptionÊisÊselected,ÊtheÊapproximateÊdayÊofÊtheÊmonthÊforÊongoingÊdraftsÊwillÊbeÊbasedÊuponÊyourÊselectedÊMembershipÊStartÊDate.ÊMembershipÊ StartÊDatesÊofÊtheÊ29th,Ê30th,ÊorÊ31stÊwillÊresultÊinÊaÊdraftÊdayÊofÊtheÊ28th. * NOTE: Before using these benefits, please allow up to two business days from the date your application is processed or from your Membership Start Date for the vendors to receive your membership and eligibility information. P.O. Box Irving, TX Member Services Fax :00 a.m. to 5:30 p.m. CT Monday - Friday EnclosedÊcheckÊ AMERICANSÊFORÊFINANCIALÊSECURITYÊ(AFS),ÊP.O.ÊBoxÊ141268,ÊIRVING,ÊTXÊ I authorize above named company to debit entries to my account with the Depository named below. AFS Member Payment Receipt This payment is for the one-time Association administration fee, current membership dues, and initial payment for any upgrade options purchased. The Field Service Representative does not have the authority to make, alter, or amend any contracts. Membership is effective when received and made active by the Association per the selected Membership Start Date referenced on the application. w w w. A F S we b s i t e. o r g AFS-SALES BROCHURES_FINAL indd 1 w w w. A F S we bsite.org Monthly Field Service Representative Signature FSR Number FSR Phone # ÖƒöW[ä Method of Payment: CheckMoney Order Credit Card Electronic Check $ Received from Date Amount Member Number Quarterly PayorÊSignature Annually Plus upgrade options selected on the reverse side. MULTI-APP :41:24 PM

5 AFS Liberty Package Upgrade Options CAREINGTON ADVANTAGEÊCARD: $20 Monthly HOSPITALÊADVANTAGEÊCARD: $15 Monthly ASSOCIATIONÊRxÊCARD AdministeredÊbyÊEnvisionÊRxOptions Individual $13.95 Monthly Family $23.95 Monthly Please list Primary Card Holder Name: Check all individuals to be covered on the Association Rx Card (children 19 to 23 must be full-time students). Refer to list of covered individuals on the front of the application to match with the corresponding number. I authorize the Association, the Pharmacy Services Administrator and its participating pharmacies to share only information necessary to the fulfillment of prescriptions. NOTE: Pricing and tier position are subject to change without notice. Tier position and pricing are only for quantities stated, additional quantities may incur higher costs. Association Rx Card is not insurance. This application is not a contract. For complete details, consult your fulfillment materials. Additional benefits may not be available in all states or in all areas. ID cards and fulfillment materials will be sent separately from your AFS Welcome Packet. AFS Liberty Membership Benefit Guide Here s a complete list of benefits offered to AFS Liberty Members. To get more information on any benefit, visit and enter the benefit keyword flowers.com PetMeds 24PetWatch Pet Insurance Programs ADP EasyPay AFS PremierPoints AFS Scholarship Program Amusement Park Discounts Angie s List Association Rx Card A-Systems Accounting Software Background Screening Services Budget Rent-A-Car Careington Advantage Card Careington Discount Dental Plan CVS Caremark ExtraCare Health Card Direct Labs Enterprise Rent-A-Car E&O Coverage EPIC Hearing Service Plan Fast Collect FedEx and FedEx Office Financial Education & Credit Counseling Freight Savings Program (MESCA) Global Emergency Services Grocery Coupon Order Book Hertz Hewlett-Packard Hospital Advantage Card Hotel Access Card Hotel Savings Program Flowers PetMeds PetCare ADP Rewards Scholarship Parks Angie Roadside Rx Card A-Systems Background Check Budget Advantage Card Dental ExtraCare Labs Enterprise E&O Hearing Fast Collections FedEx Financial Freight Assist Grocery Hertz HP Hospital Card Hotel Access Hotel Savings TaxÊSavingsÊPrograms Yes, I am self-employed or a business owner, and want to learn more about these tax savings programs. MULTI-APP AFS-SALES BROCHURES_FINAL indd Instant Care Jones International University (JIU ) Legal Club of America Family Legal Club of America Small Business Mail Service Pharmacy MetLife Auto & Home Insurance Movie Ticket Discounts My Notification Service NCSPlus Incorporated North American Van Lines One Call Medical Online Shopping Discounts Payment Processing Solutions by Solveras Penny-Wise Office Products Pitney Bowes PODS Porteck Health Networks PowerNet Global Printing Services at Burns Graphics, Inc. ProTalk Small-Business Consultants ProTax Online CPAs QuickBooks Save on Real Estate Transactions Sylvan Learning Tax Savings Programs Technical Solutions TributeDirect Triple Credit Monitoring TurboTax Online Vision Discount Plan ID Theft Care JIU Legal Family Legal Business Mail Rx Auto and Home Movie My Notify NCS Moving One Call Shopping Payments Penny-Wise Postage PODS Porteck PowerNet Printing ProTalk ProTax QuickBooks Real Estate Sylvan Tax Savings Technical Teladoc TributeDirect Triple Credit TurboTax Vision PROTECTION, SECURITY, AND PEACE OF MIND LIBERTY PACKAGE :41:27 PM

6 AFS Liberty Package Upgrade Options CAREINGTON ADVANTAGEÊCARD: $20 Monthly HOSPITALÊADVANTAGEÊCARD: $15 Monthly ASSOCIATIONÊRxÊCARD AdministeredÊbyÊEnvisionÊRxOptions Individual $13.95 Monthly Family $23.95 Monthly Please list Primary Card Holder Name: Check all individuals to be covered on the Association Rx Card (children 19 to 23 must be full-time students). Refer to list of covered individuals on the front of the application to match with the corresponding number. I authorize the Association, the Pharmacy Services Administrator and its participating pharmacies to share only information necessary to the fulfillment of prescriptions. NOTE: Pricing and tier position are subject to change without notice. Tier position and pricing are only for quantities stated, additional quantities may incur higher costs. Association Rx Card is not insurance. This application is not a contract. For complete details, consult your fulfillment materials. Additional benefits may not be available in all states or in all areas. ID cards and fulfillment materials will be sent separately from your AFS Welcome Packet. AFS Liberty Membership Benefit Guide Here s a complete list of benefits offered to AFS Liberty Members. To get more information on any benefit, visit and enter the benefit keyword flowers.com PetMeds 24PetWatch Pet Insurance Programs ADP EasyPay AFS PremierPoints AFS Scholarship Program Amusement Park Discounts Angie s List Association Rx Card A-Systems Accounting Software Background Screening Services Budget Rent-A-Car Careington Advantage Card Careington Discount Dental Plan CVS Caremark ExtraCare Health Card Direct Labs Enterprise Rent-A-Car E&O Coverage EPIC Hearing Service Plan Fast Collect FedEx and FedEx Office Financial Education & Credit Counseling Freight Savings Program (MESCA) Global Emergency Services Grocery Coupon Order Book Hertz Hewlett-Packard Hospital Advantage Card Hotel Access Card Hotel Savings Program Flowers PetMeds PetCare ADP Rewards Scholarship Parks Angie Roadside Rx Card A-Systems Background Check Budget Advantage Card Dental ExtraCare Labs Enterprise E&O Hearing Fast Collections FedEx Financial Freight Assist Grocery Hertz HP Hospital Card Hotel Access Hotel Savings TaxÊSavingsÊPrograms Yes, I am self-employed or a business owner, and want to learn more about these tax savings programs. MULTI-APP AFS-SALES BROCHURES_FINAL indd Instant Care Jones International University (JIU ) Legal Club of America Family Legal Club of America Small Business Mail Service Pharmacy MetLife Auto & Home Insurance Movie Ticket Discounts My Notification Service NCSPlus Incorporated North American Van Lines One Call Medical Online Shopping Discounts Payment Processing Solutions by Solveras Penny-Wise Office Products Pitney Bowes PODS Porteck Health Networks PowerNet Global Printing Services at Burns Graphics, Inc. ProTalk Small-Business Consultants ProTax Online CPAs QuickBooks Save on Real Estate Transactions Sylvan Learning Tax Savings Programs Technical Solutions TributeDirect Triple Credit Monitoring TurboTax Online Vision Discount Plan ID Theft Care JIU Legal Family Legal Business Mail Rx Auto and Home Movie My Notify NCS Moving One Call Shopping Payments Penny-Wise Postage PODS Porteck PowerNet Printing ProTalk ProTax QuickBooks Real Estate Sylvan Tax Savings Technical Teladoc TributeDirect Triple Credit TurboTax Vision PROTECTION, SECURITY, AND PEACE OF MIND LIBERTY PACKAGE :41:27 PM