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OPTION FORM TO EXTEND YOUR DEPENDENTS AND/OR YOURSELF (IF YOU ARE NOT AUTOMATICALLY ENROLLED) I wish to extend my current coverage under Memorial University of Newfoundlands Foreign Health Insurance
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Begin by providing your personal information, such as your full name, address, and contact details.
02
Specify the purpose of the opt-in form, which in this case is related to a memorial.
03
Indicate the name of the deceased individual for whom the memorial is intended.
04
Include any additional details such as the date and location of the memorial service, if applicable.
05
Check the boxes or options that apply to your situation, such as whether you would like to receive updates or notifications about the memorial.
06
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07
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Who needs opt-in form - memorial?

01
Individuals who are planning or organizing a memorial service for a loved one.
02
Anyone who would like to stay informed about upcoming memorial events or updates.
03
People who wish to receive notifications about memorial-related news, such as the unveiling of a memorial monument or the publication of a memorial book.
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