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A check form is attached to this premium notice for your convenience. This check automatically becomes paid by your bank. Detach and keep the upper part of this form for your record of date and amount of p If you prefer to pay by personal check or money order, your check, when paid, or money order stub will The unused check form should be returned with your remittance. This premium is due and payable to the Company at its Home Office in Dallas, Texas, on the due date sh paid on or before said date, or within 31 days thereafter, the policy will then terminate, except as otherw the policy.
a receipt when payment. be your receipt. own and if not ise provided in