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Please send this form along with all applicable receipts to: 1200 River Avenue, Suite 10E, Lakewood, NJ 08701 Fax: 8777478564 Email: Claims×flex facts. Camera Activation Form This form is required

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How to fill out fax 877-747-8564

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4. Next, write the recipient's name and contact information below yours.
5. Provide a clear and concise subject line that describes the purpose of the fax.
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7. If necessary, include any reference numbers or additional information that may be required.
8. Double-check the accuracy of all the information you have entered.
9. Once you have completed filling out the fax, save the document if you are using a computer.
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13. Enter the recipient's fax number (877-747-8564) into the fax machine.
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Fax 877-747-8564 is a dedicated fax number used for submitting certain forms or documents.

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