Small Business Enrollment Instructions

C.C.A.C. Small Business
"Partner: C.C.A.C. & Associates"

"Communication, Clarity, And Commitment in Customer Service"

Small Business Plans
and
Enrollment and Form Instructions

"Communication,
Clarity And
Commitment in
Customer Service"

Before filling out form, please read instructions, below

SELECT ONE OF THE APPLICATIONS BELOW:
(Just Click on link, below, Print application, Fill out, Sign and Mail)

**If you prefer, we can fill out the form for you over the phone. After we
email it to you, Print it, Sign it and Mail it to the address at the bottom of
this page**

ENROLL ONLINE:
Cut and paste the following link into your browser window:
www.ccac-marketing.com

CCAC Marketing Services
Business Plans:

BUSINESS OWNERS LEGAL SOLUTIONS PLAN

LEGAL PLAN FOR THE SELF-EMPLOYED

MEDICAL PROFESSIONAL

REALESTATE AGENT

HOME-BASED BUSINESS

HOME-BASED BUSINESS (Rider only)

---------------------------------------------------

Form and Mailing Instructions:

Form Instructions:
If you are unable to download form or fill it out clearly,
we can fill out the form for you over the phone.
After we email it to you, Print it, Sign it and Mail it to
the address below:

Phone: 770-708-2615
Email: plans@ccac-small-business.com

Enroll Online:
Cut and paste the following link into your browser window:
www.ccac-marketing.com

Mailing Instructions:
**Mail all completed applications to:

LegalShield
Attn: Small Business Enrollment
PO Box 1379
Ada, OK 74821-1379

**We recommend using some form of mail tracking or delivery
confirmation, etc.
Contact your post office for details.