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P. O. Box 366 Langhorne PA 19047-0366 215 946-8888 2015-2016 Underwritten By AXIS Insurance Company Chicago Illinois Ver. O. Box 366 Langhorne PA 19047-0366 DO NOT RETURN THE APPLICATION PAYMENT TO YOUR STUDENT S SCHOOL This insurance can be purchased anytime during the 2015-2016 school year. The terms and conditions of coverage are set forth in the policy issued in Pennsylvania under form number BACC-001-0909-PA. Please write the student s name and school name on your check. BACC-004-0909...

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