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The contract shall be effective on its date of issue. I hereby represent that the statements and answers included herein are full complete and true to the best of my knowledge and belief. I agree that this application shall be the basis for and a part of any contract issued. I understand that only an officer of the First Catholic Slovak Union in writing may 1 make or modify contracts or 2 waive any of its rights or requirements. Signed At City and State INSURANCE FRAUD WARNING Any person who...
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