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01/19/2012

GERALD T WELCH 530 N LONGWOOD DR GLENWOOD, IL 60425

Re: Policy # AUT040272351 Thank you for choosing AAA as your insurance provider! We look forward to providing you with the quality service that you expect. Please sign and return the enclosed forms within 10 days from the date of this letter to ensure coverage. If you have any questions or concerns regarding the application or our insurance products, please call us at 800-936-4066
TRACEY HASLIP

Please sign and return the following documents:


Policy Addendum/Policy Authorization Authorization for Automatic Withdrawal

Please provide us with a copy of the following documents:


Copy of Previous Insurance Carrier Declarations Page Proof of Homeownership: copy of deed, home insurance, tax bill, or mortgage statement

There are 2 ways to respond: By Fax: 313-336-9099 (Preferred method) By Mail: TRACEY HASLIP
1 AUTO CLUB DEARBORN MI 48126

Failure to provide the requested documentation may result in a change of premium or cancellation of policies.
2009-06-CL-01
Originally Batch mailed on 01/19/2012 03:34 PM EST

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