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Policies issued in the State of Washington are underwritten by Delta Dental of Washington NAIC 47341 P. DeltaDentalCoversMe. com or call 888-899-3736. A debit card credit card or EFT Electronic Funds Transfer may be used to pay monthly semi-annually or annually. Signature Date Your payment for the upcoming period will be deducted from your account on the 27th of the previous month. I authorize Delta Dental to initiate debit entries from my above bank account or Debit/Credit card for my dental...

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