QUOTE & MEMBER ENROLLMENT Age Range*The oldest age of the member in the plan. 18-29 30-39 40-49 50-64 Membership Tier* Member Member & Spouse Member & Child(ren) Member Family Tobacco Use** Tobacco Use in the last 12 months increases membership rates by $50 monthly. No Yes IUA OptionMembership Rate Price: HiddenCSV URL Upload the csv to the media library. Then copy and paste the url to this field.HiddenAffiliate Δ
