I apply to become a Subscriber to the Collegiate Alumni Trust. CAT enables members of sponsoring organizations to purchase insurance through a single group insurance policy. Subscribing to CAT costs nothing, but is required to become insured. I understand that this program is for my benefit. I request that any dividend or surplus to which I may be entitled as the result of my participation be paid to the Sponsor named above or to any other entity designated by the Sponsor from time to time. I understand that I am not required to do so and may rescind this request by contacting Meyer and Associates at the address below. I authorize email communication from Meyer and Associates about my application and insurance.