


CCAC Legal "Access" Services Plan Administrators: GoSmallBiz.com® and LegalShield®, Inc. Ask us about licensing Restrictions in some states. SIGN UP NOW For Individual, Family, Small Business & Specialty Plans (Before you begin, please read instructions further down the page) SELECT ONE OR MORE OF THE APPLICATIONS BELOW: (Just Click on link, Print application, Fill out, Sign and Mail) **If you prefer, we can fill out the form for you over the phone and email the completed form to you. Then, just PRINT it, SIGN it and MAIL it to the address at the bottom of this page. *Before you begin, please scroll down for "Form" and "Mailing" instructions.* ** "FORM" AND "MAILING" NSTRUCTIONS ** **Remember, If you prefer, we can fill out the form for you over the phone and email the completed form to you. Just PRINT it, SIGN it and MAIL it to the address below. Form Instructions: For any questions about filling out the forms: Call us at: (770) 708-2615 or Email us at: legalaccess@ccac-legalaccess.com Mailing Instructions: *Mail all completed applications to: (Mail original and make a copy for your file) LegalShield Attn: New Memberships PO Box 1379 Ada, OK 74821-1379 *We recommend using some form of mail tracking (e.g., Delivery Confirmation). Contact your post office for details. --------------------------------------------------------------- --------------------------------------------------------------- CCAC & Associates, Inc. Legal Access Services Division Douglasville, GA USA legalaccess@ccac-legalaccess.com CCAC Website Customization Services *All Rights Reserved* |
| An Annual enrollment amount* can be given over the phone. *A 12-Month payment plan is also available. **Amount For A Family Legal Plan, Depends On your State. Business Plans are Higher and Include Extra Benefits. |



| WHAT'S COVERED? PHONE CONSULTATION FOR UNLIMITED MATTERS UNLIMITED CONTRACT REVIEW FREE WILL PREVENTATIVE SERVICES LABOR LAW MOTOR VEHICLE AND TRAFFIC TRIAL DEFENSE IRS AUDIT CIVIL SUIT AGAINST YOU DIVORCE BUSINESS LAW CHILD CUSTODY CHILD SUPPORT DESCRIMINATION IMMIGRATION EMPLOYEE RIGHTS IDENTITY THEFT INSURANCE CLAIMS JOB-RELATED CRIMINAL CHARGES CONSUMER PROTECTION REALESTATE LANDLORD/TENANT CLASS ACTION SUIT SUIT AGAINST SOMEONE ELSE |

| C.C.A.C. Legal Access Services |