By signing below, I acknowledge that: I am 18 years of age or older; you agree to register for a membership into the TruScript Prescription Plan; and I acknowledge that I have read, understood and agree to TruScript Terms and Conditions. I hereby authorize TruScript or their plan administrator, NBFSA, to deduct $19.95 from my account for the first month of membership and to deduct $19.95 on an monthly basis thereafter. I understand that this authority shall remain in force until I notify TruScript 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.