Note: all information provided is for the sole use of LEEWS (e.g., to contact you, if necessary). No information will be shared.
DO NOT E-MAIL CREDIT CARD NUMBER!
TO REGISTER BY PHONE: please supply all requested information in the form below and press SEND. Then call 1-800-765-8246 and leave the following information (NOTE: all information received at the 800 number is secure):
- Name (as it appears on the credit card)
- Credit card number
- Expiration date
- Telephone number (including area code) where you can be reached
Unless notified otherwise, your place in the program will then be confirmed.