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Filed with American Reliable Insurance Company. Complete the Store and Customer information on ALL claims. Then complete the appropriate box for type of claim being filed. ALL CLAIMS MUST BE ACCOMPANIED WITH: A COPY OF THE MEMBERSHIP AGREEMENT, A COPY OF THE RENTAL AGREEMENT AND A COPY OF THE PAYMENT HISTORY SHOWING CLUB PAYMENTS. SEND CLAIM FORM WITH SUPPORT INFORMATION TO: CLAIMS DEPARTMENT, 900 36TH AVE. NW, SUITE 105 NORMAN, OK 73072. FOR QUESTIONS CALL TOLL-FREE 1-888-579-8912 OR FAX 1-405-.

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