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Legacy Family Registration – Current Members
For any questions during registration, please email us at
education@legacywealthholdings.com
Step
1
of
3
33%
Contact Information
Name
(Required)
First
Last
Company Name
Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Mailing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
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Ohio
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South Carolina
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Tennessee
Texas
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U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Member Information
Hidden
Date of Birth
Date of Birth
(Required)
MM slash DD slash YYYY
Shirt Size
(Required)
Create a Legacy Family Member Portal Account
Important: This will be the Username and Password you use to log in to the Legacy Family Portal where you will access all the assets of membership.
Username
(Required)
Password
(Required)
Enter Password
Confirm Password
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Phone
This field is for validation purposes and should be left unchanged.
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