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When you click on either of the links above, a document with instructions will open that you can complete and save to your computer. This form offers a multitude of convenient options for submitting your membership application and payment. The fastest and easiest method is to pay by credit card and email the completed form to support@premieroptionbenefits.com. Just attach the saved file, click send and you're done!
To choose a different method of submitting your application and payment, return to this page and review the following options.
BY FAX...
You may use this method as an alternative to emailing your credit card payment. Fax the completed form to (973) 571-0601.
BY MAIL...
Print out the completed application and mail it with your check or money order to the address shown at the top of the form. You may also use this method for submitting payment by credit card.
These applications are provided in
Portable Document Format (PDF). Viewing or printing it requires Adobe Acrobat Reader, a very common and easily accessible file format. If you do not currently have this software installed on your computer,
please click here now to download it for FREE! After you have determined that the PDF software is installed on your
computer, simply click on
the appropriate link above to view the document.
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