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Wflains. org FAX 319 538-0268 Application for Membership and Individual Annuity SECTION A Annuitant 1. Please send the funds to the address listed below and make the check payable to Western Fraternal Life Association for the benefit of Client s Name Cedar Rapids IA 52402-5372 1-877-wflains 1-319-363-2653 Fax-1-319-363-8806 wflains wflains. com Authorized Signature First Copy to present trustee/custodian Second Copy wfla Home Office Third Copy Client 04-07-0007 Rev 8/95. Sex 7. Marital...
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