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Get Pre Authorized Debit Agreement

N Life Assurance Company of Canada, is authorized to make monthly withdrawals from the account noted below, or any account from which you direct us to take withdrawals. The withdrawals will pay for the monthly premium including taxes for the group policy issued by us to the group policyholder. The premium due will be the amount stated in the monthly premium statement mailed to you by us. If any withdrawal is not honoured within the grace period allowed for premium payments, this agreement and th.

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