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200, rue DES Commanders Elvis (Quebec) G6V 6R2 GROUP INSURANCE CONTRACT ADMINISTRATION APPLICATION FOR Enrollment Reset Print Name of policyholder Group number Last name of member First name Class

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Start by locating the appropriate field for last name on the membership form or application.

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Write the member's last name accurately and legibly in the designated space.

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Who needs last name of member:

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Membership organizations or clubs typically require the last name of a member for identification purposes.

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The last name is often used to address members formally and maintain a professional relationship.

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