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Please accept my application and enroll me in the FCRS Restoration Plan.

I understand that an automatic payment of $100 will be made from account provided above each month.
 (onetime setup fees of $100 and monthly Fees $100)

By Submitted this form and payment. You have read and understood the Terms and Conditions of Enrollment.

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Contact us for more information about our services. Call us at the number below or fill out this email form for a fast reply. Our experienced customer service team can help you find exactly what you need and can provide advise on our accessories and delivery options. Our customer service team is available from 9 a.m. to 6 p.m. Monday to Friday. For security and training purposes, telephone calls to and from the customer service team may be recorded and monitored.

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