By signing below, I acknowledge that: I am 18 years of age or older; I agree to register for membership in the LifeInCheck Plan through the American Advantage Association (AAA); and I acknowledge that I have read, understood and agree to LifeInCheck AAA Terms and Conditions. . I hereby authorize LifeInCheck or their plan administrator, NBFSA, to deduct $14.95 from my account for the first month of membership and to deduct $14.95 on an annual monthly basis thereafter. I understand that this authority shall remain in force until I notify LifeInCheck AAA or their plan administrator NBFSA in writing of its cancellation. I have read, understood and verify the accuracy of the information I have provided in the registration form; I agree that this electronic signature has the same full legal force and effect as a handwritten signature or mark. To electronically sign the form and submit, type your name in the signature box and click the “Register” button.