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Change Payment Information



For your convenience, you can submit your change of payment information to Manulife online.

If you prefer, you can instead print this form, write in your information below, and mail it to:

    Manulife
    Affinity Markets Policy Services
    P.O. Box 670
    Stn Waterloo,
    Waterloo, ON N2J 4B8

To ensure that we have enough information to process your request, please complete ALL of the following:

* Indicates required fields

Policy Information
*
(10 digits)
*
(as shown on your policy)
*
(as shown on your policy)
Your Date of Birth*
(YYYY)
Address Information

If the address you provide below is different than the current address for your policy file, your file will be updated accordingly.

Country*
Street Number & Name*
City/Town*
Province/State*
Postal/Zip Code*
Residence Telephone*
Business Telephone
ext

Your future Premium Notices will automatically reflect your most current choice of payment method.

Monthly Payment:
For your convenience, if you choose payment by credit card, your future premium billings will automatically be charged to your card each month.
Annual Payment:
For your convenience, if you choose payment by credit card, your future premium billings will automatically be charged to your card each year.
Your future billing will automatically reflect your most recently requested payment method.

Please check and correct your information above, and then click on "Continue". You will then be presented with a summary of the information you have sent. Please print the summary and keep for your records.

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