LAPRA online FORM

LAPRA PERSONAL EMAIL & CELL PHONE SUBMISSION FORM


We collect member email addresses and cell phone numbers as additional ways to communicate important benefits information with you. We will not share, rent, lease or sell your email address or cell phone number to any third party for their independent use or benefit. Your cell phone number will only be used to send periodic text message alerts to you. 

Submit your email address and/or cell phone number by completing the online form below.

 

-------------------------------------------------------------------------------------------------------------------------------