8) Our agents have 113 years of combined licensed experience.
9) Monthly Client Newsletter "Insurance Update".
10) Annual "Risk Reduction Review" Questionnaire
11) Protection tip of the month Email Newsletter!
12) We donate to local charities and various community service and non-profit organizations
Underwriting Information:
Name of Proposed Insured:
Enter Proposed Insured's Birthdate:
Sex (M/F):
Do You Smoke?:
Height:
Weight:
Spouse's Information: (Leave Blank if you do NOT want Spouse Coverage)
Name of Spouse:
Enter Spouse's Birthdate:
Sex (M/F):
Do You Smoke?:
Spouse Height:
Spouse Weight:
Coverages:
Amount of Coverage Desired?
Type of Life Coverage Desired?
TERM = Pays death benefit only - This is lowest cost for coverage.
UNIVERSAL LIFE = Has savings aspect in addition to providing death benefit.
OTHER = Would be mortgage protection, whole life, no-exam life, etc.
Years of Level Premium, if selecting term life.
List Any Health Problems:
Reason for Buying Life Insurance:
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