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Mail Authorization Form to: Missouri Farm Bureau Ins., Co. PO Box 658 Attn: Accounts Receivable Department Jefferson City MO 65102 How do you cancel Electronic Funds Transfer Payment Plan?

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Mail Authorization Form to: Missouri Farm Bureau Ins., Co. PO Box 658 Attn: Accounts Receivable Department Jefferson City MO 65102 How do you cancel Electronic Funds Transfer Payment Plan?

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• Print, sign & complete Electronic Funds Transfer Change form. • It may take up to 30 days to process after we receive your request. So, if necessary, pay amount due with a check if there will not be enough time to cancel your electronic Funds Payment Plan. Mail Authorization Form to: Missouri Farm Bureau Ins., Co.

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