By clicking the "Agree to eSign" button, I acknowldge that:
1. I wish to enroll customers into the Protection Plus Program, and I acknowledge that I have read, understood and agree to Protection Plus User Agreement.
2. I have read, understood and verify the accuracy of the information in the Enrollment Form; and
3. 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 to the plan administrator, select “yes” and type your name in the eSignature box.