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ded. Change of Address If coned on Pod do rid MO Name Campony Nemo Sated Add:ens Clly. SW. LPcade Area Cod* and Homo Phone Ama Ceder ant Work Phone, EMI! r I 1 Li L11 1 .1.1._ L111._Liili 7 1 FIT- -TT-1 - r-T-1--1.-ri- T-1 -1-Th To Pay By Phone 1-800-47.9297 Customer Service 1.800327.
ted from respondents at time of contact. Statistics based on a countrywide average during a 12.mo. period ending 9/30/03. Insurance underwritten by AMEX Assurance Company or IDS Property Casualty Insurance Company, De Pere, WI. Discounts apply to certain coverages and vary by state. Not availabile in all states. Call
ue amountswill be added Change of Address V correct on front do na use Stoat Address Cry. Sale to Code Ana Cede and Hate Phone Area Cede ad Work Phone Email (egional) To Pay By Phone 1-800472-9297 Customer Service, Lost or Stolen Card and all other services 1400-525-3355 24 hoursa days Car
manent Residence for up to 45* days whether driving, flying on a Scheduled Airline or taking the Amtrak. Travel Medical Protection is underwritten AMEX Assurance Company, Administrative %yr office, De Pere, Wisconsin. Coverage is su • ct to the terms, conditions, and exclusions of Master Policies: (varies per state)
se print clearly in blue or black ink only in the boxes provided, Street Address n City. State Zip Code Area Code and Home Phone Area (ocleand Work Phone Email Websge:ameticanexpress.com Customer Cars & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Payments P.O. BOX 1270 NEWARK 07101
count referenced in or with this notice are subject to change in accordance with the Cardmember Agreement and the Insurance Policies underwritten by AMEX Assurance Company (collectively, the "Agreements"). This notice formally amends the Agreements as described below. Any terms in the Agreements conflicting with these
Entities connected to both Work Phone and AMEX Assurance Company

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