Welcome to the REACH for Life Membership Enrollment Page
Purchase a New or Gift Membership Online
New members may now sign up for a regular or gift REACH for Life membership online. Click on the link below to get started:
IMPORTANT:
If you already have a REACH for Life membership, please click on the "RENEW Today" button (please do NOT click on the "ENROLL Now" button).
Renew Your REACH for LIfe Membership Online
Renew your REACH for Life membership online. You will need your REACH for Life membership number and the last name of the primary person on the
account. Click on the link below to renew your membership today:
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Download a REACH for Life Application
You may download a REACH for Life membership application below.* The application can be used to request a new or gift membership or to renew an
existing membership. DO NOT EMAIL the PDF or copy and paste the membership application information directly into an email
as your credit card information will not be secure if sent in this manner.
· Download REACH for Life application.
· Download REACH for Life application
in Spanish.
Please return the completed application with your payment to:
REACH for Life Membership
P.O. Box 49100
San Jose, CA 95161-9100
Please print, sign and return the completed application by mail. Your REACH for Life membership will be active seven business days after receipt of
your signed application and payment.
Request a REACH for Life Application
Email us at membership@REACHair.com or call us toll
free at 866 767-3224 to request a brochure and application by mail. Simply complete and return the application. Your REACH for Life membership
will be active seven business days after receipt of your signed application and payment.
We have more information about our REACH for Life program on our Frequently Asked Questions page. You may also email us at
membership@REACHair.com or call us toll free at 866 767-3224 with any questions you may have.
For questions about group memberships, please contact Joyce Gilmore, our REACH for Life coordinator, at 866 767-3224 or by email at membership@REACHair.com.
*You will need a version of Adobe Reader in order to view PDF files. If you do not have this program, you can download it for free at
Adobe Reader Free Download.
