Renew Membership

Renew your LifeSave membership in minutes by completing and submitting the following form. For any questions or assistance with this process, please contact our membership specialists at 1.833.867.5095.

 

Membership Information

First Name

Last Name

Email

Member #

Membership Plan Individual (1 Member)Household (2+ Members)Medicare Individual (1 Member)Medicare Household (2+ Members)

Term 1 Year3 Years5 Years

Auto-renew my membership annually.

Update Contact Information

Please indicate any changes to your address or other contact information.

Phone

Second Phone (optional)

Street Address

City

State

Zip

Yes, please send me new membership cards, decals, and magnets.

Update Household Members

To add any new members or remove existing household members, please complete those changes below. If no changes are needed, please leave blank.

Questions or Comments

Additional notes or comments