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3688-42008 DUPLICATE COPY A000urd !trim Page 10 of 14 The form number is replaced with the following: 'CRLDI-DOC-CCSG 11/05' 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
teside 1-800.620.4991 or, if from overseas, by calling collect 1303273.6498. You may also write to us at Event Ticket Protection Plan, P.O. Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days will not invalidate a claim or reduce any benefit payment that may be found to be eligible,
bank accounts, credit cards, investments, or insurance. The form number is replaced with the following: "CRLDI-DOC-PLAT 11/05* 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
teside 1.800.620.4991 or, if from overseas, by calling collect 1.303-273-6498. You may also write to us at Event Ticket Protection Plan, PO Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days wil not invalidate a claim or reduce any benefit payment that may be found to be eligible, i
n bank accounts, credit cards, investments, or insurance. The form number is replaced with the following: 'CRLDI-DOC-CEN 11/05' Car Rental Loss and Damage Insurance is underwritten by AMEX Assurance Company, Administrative Office, Green Bay‘ Wl. Coverage is determined by the terms, conditions, and exclusions of
teside 1.800.620.4991 or, it from overseas, by calling collect 1-303-273-6498. You may also write to us at Event Ticket Protection Plan, PO Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days wit not invalidate a claim or reduce any benefit payment that may be found to be eligible, i
Entities connected to both Damage Insurance and Golden CO
AMEX Assurance Company
ORGANIZATIONElectronic Funds Services
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