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PREMIUM AUTHORIZATION FORM EATON COUNTY JR. LIVESTOCK ASSOCIATION MARKET LIVESTOCK SALE I wish to support the Eaton County 4H Jr. Livestock Market Livestock Sale by contributing a premium for: (Members
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How to fill out premium authorization form
01
Read the instructions on the premium authorization form carefully before filling it out.
02
Fill out your personal information, including your name, address, and contact information.
03
Provide your insurance policy details, such as the policy number and effective date.
04
Specify the type of premium you are authorizing, whether it is a one-time payment or recurring payments.
05
Indicate the amount of the premium you are authorizing and the frequency of payment.
06
Sign and date the form to confirm your authorization for the premium payment.
07
Submit the completed form to the relevant party or insurance company.
Who needs premium authorization form?
01
Individuals who have an insurance policy and need to authorize premium payments.
02
Policyholders who prefer to make premium payments manually instead of automatic deductions.
03
Insurance agents or brokers who assist clients in completing premium authorization forms.
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