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side for a description of when adSdional Finance Charges are not assessed on Features. Check here If address or telephone number has changed. Pease note changes on reverse side. 0000371565781431005 001959396001959396 25 rI EFTA01705037 DUPLICATE COPY Prepared For Mom* Number JEFFREY E EPS
20 - B SUMO* "theghWbartriter Whams 17,470.11 03/09/07 EQUINOX 9109 NEW YORK NY 2129532499 2,085.11 Total Due in Full Activity 19,593.98 Pease foil on the perlorersi bob.", death and rertm wet your payment ircsccei Prurrtec Payment Coupon 3715-657314-31005 JEFFREY E EPSTEIN 457 MADISON
Important information regarding benefit changes for Missouri residents: AMEX ASSURANCE COMPANY Administrative Office: 480 Pilgrim Way, Suite 1400, Green Bay, WI 54304 For residents of Missouri, the Event Ticket Protection Plan Description of Coverage to which this rider is attached is amended to include
ncy, we will choose a conversion rate that is acceptable to us to convert your payment into US dollars, unless a particular rate is required by law. Pease do not send post-dated checks. They will be depesited ton receipt. Our acceptance of any payment marked with a restrictive legend will not operate a
covered before you get to the rental car counter. Premium Car Rental Protection is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is subject to the terms, conditions, and exclusions of Master Policy AX0456. This program may bo modified, terminated, or suspended u
ated on your check. Do not send cash. Payments received after 12:00 noon or on weekends or holidays may not be a-edited until the next business day. Pease do not send post-dated checks. They will be deposted upon receipt. If payment is made at any other location, there may be a delay in processing We r
and applies for the first 30 days of rental. Car Rental Loss and Damage Insurance Is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0925 and is subject to change wth notice. This document does not S
side for a description of when additional Finance Charges are not assessed cn Features. Check here It address or telephone number has changed. Pease note changes on reverse side. 000202144000092558 08 ri EFTA01704620 DUPLICATE COPY sera Page 2 of 10 Payments: Payments received after 12:00
ged or stolen within 90 days from the date of purchase. Purchase Protection Plan is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, conditions, and exclusions of Policy AX0951 and is subject to change with notice. This document does not s
u can also write to the Express Cash Operations address indicated on your statement. If you think your statement, receipt, or transaction Is wrone, Pease contact us as soon as possible. We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appe
r enrolled American Express Card. Certain limitations and restrictions apply. PCRP Is underwritten by AMEX Assurance Corn , Administrative Office, Green Bay, WI. Coverage is subred to the Terms, Conditions, and Exclusions of Master Policy AX0456. This program may be modified, terminated, or suspended up
rge Balance(s) to Which Average Daily Annual Daily Periodic Schedule Rate Applies Balance Percentage Rate Rate ALL $0.00 17.49 % .0479% Pease refer to page 5 for important Information regarding your Sign & Travel andfor Extended Certain of the periodic rates and APRs above may be variab
anties of five years or less that are eligible in the U.S. Buyers Assurance Plan is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is determined by the terms, condtions, and exclusions of Policy AX0953 and is subject to change with notice. This document does not su
ervices, all mrchases are covered regardless of amount or location of the purchase.) In Case of Errors or Questions About Your Electronic Transfers: Pease contact us by clicking on the Customer Service Link ontne at www.americaneveess.com, or you can cal us at I.800-IPAY-AXP for Pay By Phone & Pay By
enrolled American Express Card. Certain limitations and restrictions apply. PCRP is underwritten by AMEX Assurance Company, Administrative Office, Green Bay, WI. Coverage is subject to the Terms, Condtlons, and Exclusions of Master Policy AX0456. This program may be modified, terminated, or suspended up
providers service all markets. In some instances k may take more than one billing cycle before initial paid amounts are posted to tho Card account. Pease remember to cancel these payments with your service provider if you dose your Card account, and advise your service provider if your Card account nu
rranties of five years or less that are eligible in the U.S. Ewers Assurance Plan Is underwritten by AMEX Assurance Company, AdministralMs Office, Green Bay, WI. Coverage is determined by the terms, concfitions, and exclusions of Policy AX0953 and is subject to change with notice. This document does not
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