This page is for representatives to enroll members into the Ease Primary. Please input the customer's information below.
[Obtain information from member below and input into system]
[Read the following to the customer]
We have a number of payment options available. We accept Visa, MasterCard or check/from account. Which will you be using today?
[Obtain information and input into system].
Is your contact information different from your billing information?
[If “No” simply continue. If “Yes”, check box and obtain information and input into system.].
By continuing, you acknowledge that: you are 18 years of age or older; you agree to enroll into Ease Primary; you desire to accept a gift of limited partnership interest and become a limited partner of Global Data Group LP in order to be eligible to enroll; you acknowledge that you have read, understand and agree to the New Limited Partner Joinder Agreement and the Gift / Return Agreement; and you hereby authorize the plan administrator, NBFSA, for Ease Primary to deduct $207.22 from your account on a monthly basis. You understand that this authority shall remain in force until you notify Ease Primary or their plan administrator NBFSA of its cancellation; You have given accurate information provided during this enrollment process; and this is not insurance. If you are not satisfied within 30 days after the effective date, you can call 888-424-4186. The Program will then be canceled and any Charges /Fees paid, as shown above, will be refunded.
Total$110.82 monthly
Please try again. If the problem persists contact customer service at 888-424-4186
