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Birthdate:
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Gender
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Smoker/Tobacco:
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Yes
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Health Class
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Preferred Plus
Preferred
Regular Plus
Regular
Type of Insurance
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10 Year Level Term
15 Year Level Term
20 Year Level Term
25 Year Level Term
30 Year Level Term
Face Amount
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$10,000
$25,000
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$300,000
$350,000
$400,000
$450,000
$500,000
$550,000
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$650,000
$700,000
$750,000
$800,000
$900,000
$1,000,000
$1,100,000
$1,250,000
$1,500,000
$1,750,000
$2,000,000
$2,500,000
$3,000,000
$4,000,000
$5,000,000
$6,000,000
$7,000,000
$8,000,000
$9,000,000
$10,000,000
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