Beneficiary Member options:

If you would prefer to join by monthly draft from your RSA check, please sign and return your membership application. 

To request a Beneficiary application, please call our office at 800-844-7732 or 334-834-9116.

Payment for Beneficiaries

Total Amount
Payment method
Billing Zipcode*
Credit Card Number*
Expiration Date*
Card (CVV) Code*
Card Holder Name*
Verification code*


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