ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

ACCOUNT_JOB_COMPANY

Current Date: 25 November 2024

Dear Sir/Madam,

POLICY NO NUMBER

We enclose a completed form declaring a further consignment, valued VALUE.

This will be the last full declaration under the above policy as the undeclared balance now will not be sufficient to cover our next consignment. Therefore please issue a new policy on the same terms and for the same amount, namely AMOUNT, as the current policy.

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