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GROUP INSURANCE APPLICATION MELANIE BLUE CROSS Plan Effective datePolicy No39 Division001Please write in print and readable lettersPolicyholder name: Clients legal Name:Nature of your business: Address:QuebecProvince:City:
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Please write in print refers to the act of manually writing information on a document or form using a pen or printer.
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The purpose of writing in print is to ensure that information on a document or form is clear, accessible, and easily readable.
Any information that is requested on the document or form must be accurately reported by writing in print.
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