Instructions:
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Print the following Acrobat file.
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Complete and sign the membership premium
payment authorization form and application for yourself and/or your spouse and children.
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Write "VOID" across one of your
blank checks.
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Your only other payment option is to pay premiums
annually. If that is your wish, just omit steps 2 and 3 and include a note requesting
annual billings.
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Enclose the above items in an envelope and
mail to:
SWAPA
Life Insurance Plan c/o Harvey Watt & Co. P.O. Box 20787 Atlanta,
GA 30320-9805
Note:
Do not email or fax information. We must have your original signatures.
Call us at 1-800-241-6103 if you have any questions.

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