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Bkash Hacking Apps Form
And understand the conditions and exclusions of the program. I hereby enroll in The Dental Plan for
The American Legion Members. I understand that the insurance enrolled for shall become effective on the date
specified by The United States Life Insurance Company in the City of New York only if this Enrollment Form is
accepted and the first premium is paid by the Effective Date. I represent that to the best of my knowledge and
belief all statements and answers recorded above are true and...
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