RE: <<Cli_NamedInsureds>>

<<Cli_Address:PC>>

<<Cli_City>>, <<Cli_State>> <<Cli_Zip>>

Immediately, please take my account off of the EFT billing plan for the <<Input: Type the word - either policy or policies>> listed below. Change my account to the bill by mail plan.

<<Input: Policy Type1>> <<Input: Policy Number1>>

<<Input: Policy Type2>> <<Input: Policy Number2>>

<<Input: Policy Type3>> <<Input: Policy Number3>>

<<Input: Policy Type4>> <<Input: Policy Number4>>

Sincerely,

Policyholder

<<Cli_NamedInsureds>>