AFBA/5Star Life Credit Card Authorization Form CC 1113 Requested Eff/1st Draft Date (MMDDYYYY) (Must be less than 60 days from sign date.) (For Final Expense use only) List all Applicant/Insured s.
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How to fill out the Afba Credit Card online
Completing the Afba Credit Card authorization form online is a straightforward process. This guide will walk you through each section of the form, providing clear and detailed instructions to ensure that you can submit your information accurately and efficiently.
Follow the steps to successfully fill out the Afba Credit Card form.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- Enter the requested effective date by providing the date in MMDDYYYY format. Ensure this date is less than 60 days from the date you sign the form.
- Provide the Payor's name as it appears on the credit card. Remember to include the Last Name, First Name, and any Middle Initial.
- Fill in the billing address by including Address Line 1, Address Line 2 (if applicable), City, State, and Zip Code.
- Enter the credit card account number. Make sure to use only Visa or MasterCard.
- Specify the Day of Deduction by selecting a number between 01 and 28. Note that for specific users, the options 2W, 3W, 4W may apply for Final Expense only.
- Read and understand the authorization statement where you agree to allow AFBA/5 Star Life to charge your credit card as specified. Your understanding of the terms should be clear before proceeding.
- Provide your signature in the designated area and enter the date of signing.
- Once all sections are complete, review the form to ensure accuracy. You can then save your changes, download, print, or share the form as needed.
Start completing your Afba Credit Card authorization form online today.
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