CLICK HERE
to print off the online form
Mail Applications to:
AmeriPlan USA
5700 Democracy
Plano, Texas 75024
Questions or Concerns regarding Application or Services:

totalcare4all@yahoo.com
Fax Applications to:
(469) 229-4589
If you do not have a copy of this software, click here to get a Free copy.
AmeriPlan Satisfaction Gaurantee
If you are not satisfied within the first 30 days of becoming a member, you may cancel your membership in writing by mail to Democracy Drive, Plano, Texas 75024, fax to (469) 229-4595, or email to stop@stopmembership.com.  Your membership fee will be refunded.  Please be aware that the one time administrative fee and money paid for healthcare services and products are not refundable. After 30 days membership fees are not-refundable.  You may cancel your subscription at any time upon written request to AmeriPlan.