fbpx
Western Catholic Union
A Fraternal Life Insurance Society
(217) 223-9721
(800) 223-4928
«
Agent Alert -
»
Western Catholic Union
A Fraternal Life Insurance Society
(217) 223-9721
(800) 223-4928
«
Agent Alert -
»

Automatic Premium Payment Plan

Click here to download this form to fill out

 
  • I hereby authorize Western Catholic Union and the Financial Institution named below to process entries to my account in accordance with my instructions. The authority will remain in effect until I give notification, satisfactory to Western Catholic Union to terminate this authorization.
  • Type of Account (Choose One)

    Checking Account

  • Savings Account

  • Please Mail In A Voided Check
  • Your Financial Institution

 

Verification