GROUP LEGAL DEFENSE Signup Forms

To Sign Up a Group you need to print off the following two Adobe PDF forms, complete, and mail them to our office along with a check for the group or a check from each individual.

Any questions please contact us at 1-800-367-4321, ext. 1002
 

 

Group Authorization Form

 

Group Legal Defense Enrollment Form (to be completed by each member)

 

To view the above forms you must have Adobe Reader.
This is a free program that you can download by clicking on the button below:

 

Mail Completed Forms along with payment(s) to:

PLEA
P.O. Box 1197
Troy, MI 48099-1197

Thank you and welcome to PLEA!