Thank you for beginning section 2 of the application process. This section requires that you login at the bottom of this page to review and electronically sign all disclosure documents related to the National Assisted Living Risk Retention Group, Inc. Contact your agent listed on your quote if you have any questions. The following will be required after you have logged in:   Part 1. Read Information Circular and provide electronic signature:1 Outlines the technical aspects of the organization and the risks involved, read it carefully. This document must be signed (via electronic signature).   Part 2. Read Subscription Agreement and provide electronic signature:1 Sets out the Company's terms for purchasing stock and your acceptance of the conditions. Once this document is reviewed, please sign (via electronic signature). A check in the amount of $35 per licensed bed located within the facility to be insured must be sent to The National Assisted Living Risk Group, Inc. This represents the payment for shares of the Company. All checks must be made payable to National Assisted Living Risk Retention, Inc. As outlined in this Agreement, the subscription requires payment of the $35 per bed per year for three (3) years. This document must be signed (via electronic signature).   Part 3. Read Voting Agreement and Proxy and provide electronic signature:1 Authorizes a Proxy to vote your shares at its discretion regarding the operations of the Company. This document must be signed (via electronic signature).   Part 4. Submit any remaining required documents: This Step generates a letter outlining the agent you selected, an application reference number, and lists all documentation/information/other items required to be submitted to National Assisted Living Risk Retention Group, Inc.     1Your application for insurance and your agreement to be bound by the terms and conditions of the various documents and agreements posted on this web site through the electronic processes and electronic agents provided herein constitute one or more "transactions" within the meaning of the Washington D.C. Signatures Act (the "Act"). By using the electronic processes and electronic agents provided through this web site, you are (i) agreeing to conduct each transaction by electronic means pursuant to and in accordance with the terms and conditions of the Act, (ii) intending for each such use to constitute your electronic signature within the meaning of the Act and to signify your intent to be bound by all of the terms and conditions to which such electronic signature relates; and (iii) acknowledging that, subject to the terms and conditions of the various documents and agreements posted on this web site, use of such electronic processes and electronic agents will complete each transaction and create legally valid and binding obligations, enforceable against you in accordance with the terms and conditions of such transaction. No insurance may be bound until all of the items listed above are complete and approved by the Company. Login here to begin Section 2.