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VOLUNTARY AUTHORIZATION TO PARTICIPATE IN NATIONWIDE AUTOMATIC PAYMENT PLAN I/We authorize Nationwide CAC LLC (Nationwide) to debit the amount of my/our installment payments on my/our retail installment
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Step 1: Start by downloading the voluntary authorization form.
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Step 2: Fill in your personal information, such as your full name, address, and contact details.
03
Step 3: Provide a brief statement explaining why you are voluntarily authorizing your participation.
04
Step 4: Read and understand all the terms and conditions mentioned in the form.
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Step 5: Sign and date the form at the bottom to confirm your voluntary authorization.
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Step 6: Make a copy of the completed form for your records.
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Step 7: Submit the original form to the relevant authority or organization as instructed.

Who needs voluntary authorization to participate?

01
Anyone who wishes to voluntarily participate in an activity or event requiring authorization.
02
Individuals who want to grant permission for their participation in a specific program.
03
People who want to ensure their voluntary involvement is officially recognized and documented.
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Voluntary authorization to participate is a form that allows individuals to participate in a program or activity of their own free will.
Individuals who wish to participate in a specific program or activity may be required to file a voluntary authorization form.
To fill out a voluntary authorization form, individuals must provide their personal information and indicate their intention to participate in the program.
The purpose of voluntary authorization to participate is to ensure that individuals are participating in a program voluntarily and are aware of the risks involved.
The information that must be reported on a voluntary authorization form may include personal details, emergency contacts, medical information, and consent for participation.
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