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BANK DRAFT AUTHORIZATION - American Amicable

BANK DRAFT AUTHORIZATION - American Amicable

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BANK DRAFT AUTHORIZATION P.O. Box 2549, Waco, TX 76702-2549 Toll-Free 800-736-7311 • Fax 254-297-2105 (Please use black ink) PLEASE NOTE: You may make this change on our websites or by completing and returning this form. List ALL policy numbers to be drafted: _____

  Bank, Authorization

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