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Registration
Membership dues are per year, with a one-time processing fee of $95.00 for managers and technical agents, Associate agents must pay a processing fee of $50.00. For previous members wishing to reactivate their memberships, the processing fee will be waived. Please note the membership/processing fee is required prior to processing of the application. In the event that the application can not be approved we will issue a refund for the membership/processing fee.
First Name: * This Field is required This Field IS visible on profile
Last Name: * This Field is required This Field IS visible on profile
Username: * This Field is required This Field IS visible on profile Information for: Username: : Please enter a valid User Name.  No spaces, more than 2 characters and contain 0-9,a-z,A-Z
E-mail: * This Field is required This Field IS NOT visible on profile Information for: E-mail: : Please enter a valid e-mail address.
Password: * This Field is required This Field IS NOT visible on profile Information for: Password: : Please enter a valid Password.  No spaces, more than 6 characters and contain 0-9,a-z,A-Z
Verify Password: * This Field is required This Field IS NOT visible on profile
Referring Agent/Sponsor: * This Field is required This Field IS NOT visible on profile Information for: Referring Agent/Sponsor : Referring Agent Or Sponsor
Account Type: This Field IS visible on profile Information for: Account Type : Become A Manager - $499/year (Nonrefundable)**$95.00 Processing Fee
Account Type: This Field IS visible on profile Information for: Account Type : Become A Technical Agent - $299/year (Nonrefundable)
Account Type: This Field IS visible on profile Information for: Account Type : Become An Associate Agent - $199/year (Nonrefundable) **$50.00 Processing Fee
Confirm Your Account Type. Please type out the account you checked from above selection.: * This Field is required This Field IS NOT visible on profile Information for: Confirm Your Account Type. Please type out the account you checked from above selection. : Confirm Your Account Type. Please type out the account you checked from above selection.
Card Type: * This Field is required This Field IS NOT visible on profile Information for: Card Type : Card Type
Credit Card Number: * This Field is required This Field IS NOT visible on profile Information for: Credit Card Number : Credit Card Number
CVV code: * This Field is required This Field IS NOT visible on profile Information for: CVV code : The back panel of most Visa/MasterCard cards contain the full 16-digit account number, followed by the CVV/CVC code. Some banks, though, only show the last four digits of the account number followed by the code. To aid in the prevention of fraudulent credit card use, we now require the 3 or 4 digit code on the back of your credit card. When you submit your credit card information your data is protected by Secure Socket Layer (SSL) technology certified by a digital certificate.
Expiration Date: * This Field is required This Field IS NOT visible on profile Information for: Expiration Date : Expiration Date
Phone Number: * This Field is required This Field IS NOT visible on profile Information for: Phone Number : Phone Number
Address: * This Field is required This Field IS NOT visible on profile Information for: Address : Address
City: * This Field is required This Field IS NOT visible on profile Information for: City : City
State: * This Field is required This Field IS NOT visible on profile Information for: State : State
Zip Code: * This Field is required This Field IS NOT visible on profile Information for: Zip Code : Zip Code
  Accept Terms and Conditions
 
* This Field is required This Field is required | This Field IS visible on profile This Field IS visible on profile | This Field IS NOT visible on profile This Field IS NOT visible on profile | Information for: ? : Field description: Move mouse over icon Field description: Move mouse over icon
 

Disclaimer

The CHIRA® program (patent pending), copyrights and trademarks are the intellectual property of CHIRA® USA, LLC. All rights reserved. The information set forth herein does not constitute an offer to sell or a request to buy any particular investment. Any particular charitable investment contemplated by the CHIRA® should be read carefully regarding any possible risks before investing. Consult your financial advisor or tax consultant regarding tax and charitable advantages. CHIRA®USA, LLC and CHIRA® USA Financial Services, LLC reserves the right to pursue any infringer,including insurers, agents, custodians and charities, of intellectual property rights to the fullest extent of the law and in their sole discretion. All insurance products related to the CHIRA® program are marketed exclusively through CHIRA®USA Financial Services, LLC. Registered agents of CHIRA® USA Financial Services, LLC are not remunerated as a result of the issuance of the promissory note or providing investment advice related to the self-directed IRA or the note issued therefrom.  PLR 200741016.
Deo Gratias