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Wedding Cross Application

This fraternal benefit is available to all members that are going to or
have recently taken wedding vows.

Wedding Cross Application

MM slash DD slash YYYY
Should the Home Office change the last name if member is a female
Send a change of beneficiary?
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71 South Washington Street | Wilkes-Barre, PA 18701

570-823-3513 | 888-834-6614 (Toll Free)

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