 | | | | Enroll Here | | To print information contained in this Web Site you must have the Adobe Acrobat Reader (version 4.0 or later). If you don't have this software, click on this link to get it. The software is free and easy to install. | 
| | | | Enroll on line and pay by credit card | | To ensure secure transmission of your information, all transactions for this website are done by the administrator using a thawte certificate issued to affinitybenefits.com. |
| | or | | Complete the form online, print it and pay by check or credit card | | | | and Fax or Mail it to | | | Towers Affinity Benefit Services
4510 Cox Road
Suite 111
Glen Allen, VA
23060 Phone (877) 673-9797
FAX: (804) 273-9989 |
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