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

From: [email-masked]
Date: Fri, 30 Jun 2000 22:14:09 +0-1200

Save
Up To 70% on Your Life Insurance!

Why Spend  More Than You
Have To?

Just fill out the simple 1 minute  form
below, for an

accurate FREE quote

comparing the best values from among hundreds of the
nation's

top insurance companies!

COMPARE YOUR CURRENT COVERAGE

to these 10-year level term monthly sample
premiums

(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

$78

60

$75

$46

$134

$87

$259

$161

(Smoker rates also available)

*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:

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.