Subject: :: Save up to 70% on Your Life Insurance -FREE Quote :+a#neijgiyjd

From: [email-masked]
Date: Mon, 29 Jan 2001 07:40:54 -0-1200

Save up to 70% on your Life Insurance!
Why
Spend More Than You Have To?
Check out these example monthly rates...

10-year level premium term insurance
(20 and 30 year rates also
available)

$250,000

$500,000

$1,000,000

Age

Male

Female

Male

Female

Male

Female

30

$12

$11

$19

$15

$31

$27

40

$15

$13

$26

$21

$38

$37

50

$32

$24

$59

$43

$107

$7
8

60

$75

$46

$134

$87

$259

$
161

(Smoker rates also available)
Take a minute
to fill out the simple form below and receive a FREE quote
comparing the
best values from among hundreds of the nation's top insurance companies!

*All Fields
required

First Name:

Last Name:

Address:

City:

State:

Zip:

Day Phone:

(xxx-xxx-xxxx)

Evening Phone:

Fax:

(xxx-xxx-xxxx)

Email:

Male or Female:

Date of Birth:

(mm/dd/yy)

Type of Insurance:

30
Yr Guaranteed Level Term20
Yr Guaranteed Level Term15 Yr Guaranteed Level Term10
Yr Guaranteed Level TermUniversal Life2nd-to-die
(Survivorship Insurance)

Insurance
Amount:

$100,000$150,
000$200,000$250,000$300,000$350,
000$400,000$450,000$500,000$550,
000$600,000$650,000$700,000$750,
000$800,000$850,000$900,000$950,000$1,
000,000$1,500,000$2,000,000$2,500,000$3,000,
000$3,500,000$4,000,000$4,500,000$5,000,
000above $5,000,000

Height:

Weight:

lbs

Tobacco
Use:

(Please
Select)Have never smoked or used nicotineUsed to smoke, but
quit less than 1 yr agoUsed to
smoke 1-3 yrs agoUsed to smoke 3-5 yrs agoUsed to smoke over
5 yrs agoCurrently smoke cigarettesOther
nicotine use-cigars/pipe/chew/patch

Health
Status:

(Please
Select)Excellent: trim and athletic, no medicationsGood:
no infirmities and no medicationsFair: slightly overweight
or taking medicationPoor: have/had a serious health
condition

Health conditions?
YesNo

Explain:

Prescription medications?

YesNo

Explain:

Do you engage in any hazardous
activities?
(i.e. scuba,skydiving,private pilot,etc.)
YesNo

Explain:

Did your parents or siblings
have
heart disease or cancer prior to age 60?
YesNo

Explain:

We will open your email application to submit your
inquiry. All quotes will be from insurance companies rated A-, A, A+ or A++ by
A.M. Best. Actual premiums and coverage availability will vary depending upon
age, sex, state, health history and tobacco use. THIS IS NOT AN OFFER OR
CONTRACT TO BUY INSURANCE PRODUCTS, but rather a confidential informational
inquiry. All information submitted is strictly confidential, and will be given
to an insurance professional licensed in your state of residence, who will
contact you and provide your quote directly. Further transmissions of this
email may be stopped at no cost to you. PLEASE CLICK HERE AND TYPE REMOVE.
7:40:54 AM