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| Welcome to
Raymond Longoria Insurance online payment
process site. All payments processed through
this site does not constitute payment to
insurance company. By using this
form you have given Raymond
Longoria Insurance (RLI Group) authorization
to draft by check using check net. By check and
initializing the form below you are
guaranteeing that you have sufficient funds
to process this draft. Insufficient funds
may apply, please ask your bank for more
information. |
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| This
draft will be done on a one time
basis only. This draft authorization
is solely for the purpose of
securing insurance coverage. You
will be subject to any charge backs
in the event of insufficient funds
or any other baking fees regarding
this transaction. |
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