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Authorization for Pre-Authorized Cheque Plan - RBC …

Authorization for Pre-Authorized Cheque Plan Request for Pre-Authorized Cheque Plan: RBC Life insurance Company (the Company ) is hereby requested and authorized to make monthly withdrawals in paper or electronic form under its Pre-Authorized Cheque Plan (the Plan), such withdrawals to be charged against the account at the financial institution indicated below or any other account at any financial institution subsequently designated. Such withdrawals may be on varying amounts in accordance with the premium deposit schedule, policy changes and related charges that have been contracted or will be contracted with the Company.

Sept 2002 Page 1 of 1 ™ Trade-mark of Royal Bank of Canada, used under license; RBC Insurance is a registered trade-mark of Royal Bank of Canada

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