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Use this form to authorize WEBB to withdraw premiums from your bank account each month. This authorization will remain in effect until revoked in writing, or until superseded by another form submitted
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This authorization will remain as a legal document giving permission for a specific action or transaction to take place.
The individual or entity initiating the action or transaction is required to file this authorization will remain.
This authorization will remain can be filled out by providing all necessary information and signatures as required.
The purpose of this authorization will remain is to ensure that the action or transaction is legally approved and documented.
The information required to be reported on this authorization will remain includes details of the action or transaction, parties involved, and any relevant terms and conditions.
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