Applying is Easy

  Instructions:
  1. Print the following Acrobat file.
  2. Complete and sign the membership premium payment authorization form and application for yourself and/or your spouse and children.
  3. Write "VOID" across one of your blank checks.
  4. 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.
  5. 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.