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tion Date Rental: MIAMI FL 06/10/06 Return: W. PALM BCH FL 08/1W06 Agreement Num Renter Name:

ipated legal process; (9) death; (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for active duty members of the United States Armed Forces. Exclusions Benefits are not payable if the loss for which coverage is sought was directly or indirectly, wholly or partially, contributed to or ca

ness lunches, pre-theater, or private events. 57 W. 48th St 212-262-6200. www.ajmaxwells.com. If the

rd unit or Active Reserve or for 38986 BP/TR12PFY10806 EFTA01704346 DUPLICATE COPY Prepacd Fa G MAXWELL Page 10 01 12 active duty members of the United States Armed Forces. Exclusions Benefits are not payable if the loss for which coverage is sought was directly or indirectly, wholly or partially, contributed to or ca

Customer Service. • Please print clearly In blue or black Ink only In the boxes provided. You mayvisit the American Express PdvacyStatement at VW/W. americanexpresszonSivacy for more details andtoset your email preferences. Large Print and Braille Statements 1-800-525-3355 Travel Emergency and

ipated legal process; (9) death; (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for active duty members of the United States Armed Forces. Exclusions Benefits cue not payable if the loss for which coverage is sought was directly or indirectly, wholly or partially, contributed to or ca

ness lunches, pre-theater, or private events. 57 W. 48th St. 212-262-6200. www.ajmaxwells.com. If th

ipated legal process; (9) death; (10) or emergency call to duty as a member of a National Guard unit or Active Reserve or for active duty members of the United States Armed Forces; or (11) Lost Ticket. Exclusions Benefits are not payable if the loss for which coverage is sought was directly cc indirectiy, wholly or partially,