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Submitted URL: https://www.termshopper.com/
Effective URL: https://www.compulife.net/termshopper/
Submission: On July 30 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST http://www.compulife.net/cgi-bin/cqsl.cgi

<form action="http://www.compulife.net/cgi-bin/cqsl.cgi" method="POST">
  <input type="hidden" name="UserLocation" value="termshopper.com">
  <b><i><font face="Arial,Helvetica" font="" color="#0000FF">TermShopper </font></i></b> is owned by <font size="3" face="Times New Roman">
    <a href="http://www.compulife.com"><b>COMPULIFE</b></a>
  </font> Software, Inc. which sells term comparison software to thousands of life agents throughout the U.S. and Canada.&nbsp;&nbsp;&nbsp; <a href="http://www.termforsale.net/canterm4sale.htm"><b>Canadian Comparisons</b></a>&nbsp;&nbsp; <p>Once you
    answer the following questions you will receive a price comparison of the most competitive term products for the type of term insurance that you select. <a href="http://www.compulife.com"><font size="3" face="Times New Roman">
<b>COMPULIFE</b></font></a> will not ask for your name, address or phone number. Your privacy is protected and no one will call you to sell you life insurance. <font color="#FF0000"><b><i>Once
you receive your comparison, print and READ IT CAREFULLY. </i></b></font>It contains important advice to assist you in finding the best company and product.&nbsp; </p>
  <hr size="3" width="100%"><b><font size="+0">Select
Your State:</font></b><b><font face="Arial,Helvetica"><font size="-1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<select name="State" size="1"><option value="1">Alabama&nbsp;</option>&nbsp;<option value="2">Alaska&nbsp;</option>&nbsp;<option value="3">Arizona&nbsp;</option>&nbsp;<option value="4">Arkansas&nbsp;</option>&nbsp;<option selected="" value="5">California&nbsp;</option>&nbsp;<option value="6">Colorado&nbsp;</option>&nbsp;<option value="7">Connecticut&nbsp;</option>&nbsp;<option value="8">Delaware&nbsp;</option>&nbsp;<option value="9">Dist.
Columbia&nbsp;</option>&nbsp;<option value="10">Florida&nbsp;</option>&nbsp;<option value="11">Georgia&nbsp;</option>&nbsp;<option value="12">Hawaii&nbsp;</option>&nbsp;<option value="13">Idaho&nbsp;</option>&nbsp;<option value="14">Illinois&nbsp;</option>&nbsp;<option value="15">Indiana&nbsp;</option>&nbsp;<option value="16">Iowa&nbsp;</option>&nbsp;<option value="17">Kansas&nbsp;</option>&nbsp;<option value="18">Kentucky&nbsp;</option>&nbsp;<option value="19">Louisiana&nbsp;</option>&nbsp;<option value="20">Maine&nbsp;</option>&nbsp;<option value="21">Maryland&nbsp;</option>&nbsp;<option value="22">Massachusetts&nbsp;</option>&nbsp;<option value="23">Michigan&nbsp;</option>&nbsp;<option value="24">Minnesota&nbsp;</option>&nbsp;<option value="25">Mississippi&nbsp;</option>&nbsp;<option value="26">Missouri&nbsp;</option>&nbsp;<option value="27">Montana&nbsp;</option>&nbsp;<option value="28">Nebraska&nbsp;</option>&nbsp;<option value="29">Nevada&nbsp;</option>&nbsp;<option value="30">New
Hampshire&nbsp;</option>&nbsp;<option value="31">New Jersey&nbsp;</option>&nbsp;<option value="32">New
Mexico&nbsp;</option>&nbsp;<option value="52">NY Non-Bus&nbsp;</option><option value="33">NY
Business&nbsp;</option>&nbsp;<option value="34">North Carolina&nbsp;</option>&nbsp;<option value="35">North
Dakota&nbsp;</option>&nbsp;<option value="36">Ohio&nbsp;</option>&nbsp;<option value="37">Oklahoma&nbsp;</option>&nbsp;<option value="38">Oregon&nbsp;</option>&nbsp;<option value="39">Pennsylvania&nbsp;</option>&nbsp;<option value="40">Rhode
Island&nbsp;</option>&nbsp;<option value="41">South Carolina&nbsp;</option>&nbsp;<option value="42">South
Dakota&nbsp;</option>&nbsp;<option value="43">Tennessee&nbsp;</option>&nbsp;<option value="44">Texas&nbsp;</option>&nbsp;<option value="45">Utah&nbsp;</option>&nbsp;<option value="46">Vermont&nbsp;</option>&nbsp;<option value="47">Virginia&nbsp;</option>&nbsp;<option value="48">Washington&nbsp;</option>&nbsp;<option value="49">West
Virginia&nbsp;</option>&nbsp;<option value="50">Wisconsin&nbsp;</option>&nbsp;<option value="51">Wyoming&nbsp;</option>&nbsp;<option value="53">Guam&nbsp;</option>&nbsp;<option value="54">Puerto
Rico&nbsp;</option>&nbsp;<option value="55">Virgin Islands&nbsp;</option>&nbsp;<option value="56">American
Samoa&nbsp;</option>&nbsp;</select></font></font></b>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><a href="http://www.term4sale.ca"><font size="2" face="Arial">
Click here for Canadian Comparisons</font></a></b>
  <p><b><font face="Times New Roman,Times"><font size="+0">Please enter your Birthdate:&nbsp;<font size="+1">
&nbsp;&nbsp;&nbsp;</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</font><font face="Arial,Helvetica"><font size="-1">Month&nbsp;<select name="BirthMonth">
<option value="1">January&nbsp;</option>
<option value="2">February&nbsp;</option>
<option value="3">March&nbsp;</option>
<option value="4">April&nbsp;</option>
<option value="5">May&nbsp;</option>
<option selected="" value="6">June&nbsp;</option>
<option value="7">July&nbsp;</option>
<option value="8">August&nbsp;</option>
<option value="9">September&nbsp;</option>
<option value="10">October&nbsp;</option>
<option value="11">November&nbsp;</option>
<option value="12">December&nbsp;</option></select>
Day&nbsp;<select name="Birthday">
<option>1&nbsp;</option>
<option>2&nbsp;</option>
<option>3&nbsp;</option>
<option>4&nbsp;</option>
<option>5&nbsp;</option>
<option>6&nbsp;</option>
<option>7&nbsp;</option>
<option>8&nbsp;</option>
<option>9&nbsp;</option>
<option>10&nbsp;</option>
<option>11&nbsp;</option>
<option>12&nbsp;</option>
<option>13&nbsp;</option>
<option>14&nbsp;</option>
<option selected="">15&nbsp;</option>
<option>16&nbsp;</option>
<option>17&nbsp;</option>
<option>18&nbsp;</option>
<option>19&nbsp;</option>
<option>20&nbsp;</option>
<option>21&nbsp;</option>
<option>22&nbsp;</option>
<option>23&nbsp;</option>
<option>24&nbsp;</option>
<option>25&nbsp;</option>
<option>26&nbsp;</option>
<option>27&nbsp;</option>
<option>28&nbsp;</option>
<option>29&nbsp;</option>
<option>30&nbsp;</option>
<option>31&nbsp;</option></select>
Year&nbsp;<select name="BirthYear">
<option>1910&nbsp;</option>
<option>1911&nbsp;</option>
<option>1912&nbsp;</option>
<option>1913&nbsp;</option>
<option>1914&nbsp;</option>
<option>1915&nbsp;</option>
<option>1916&nbsp;</option>
<option>1917&nbsp;</option>
<option>1918&nbsp;</option>
<option>1919&nbsp;</option>
<option>1920&nbsp;</option>
<option>1921&nbsp;</option>
<option>1922&nbsp;</option>
<option>1923&nbsp;</option>
<option>1924&nbsp;</option>
<option>1925&nbsp;</option>
<option>1926&nbsp;</option>
<option>1927&nbsp;</option>
<option>1928&nbsp;</option>
<option>1929&nbsp;</option>
<option>1930&nbsp;</option>
<option>1931&nbsp;</option>
<option>1932&nbsp;</option>
<option>1933&nbsp;</option>
<option>1934&nbsp;</option>
<option>1935&nbsp;</option>
<option>1936&nbsp;</option>
<option>1937&nbsp;</option>
<option>1938&nbsp;</option>
<option>1939&nbsp;</option>
<option>1940&nbsp;</option>
<option>1941&nbsp;</option>
<option>1942&nbsp;</option>
<option>1943&nbsp;</option>
<option>1944&nbsp;</option>
<option>1945&nbsp;</option>
<option>1946&nbsp;</option>
<option>1947&nbsp;</option>
<option>1948&nbsp;</option>
<option>1949&nbsp;</option>
<option>1950&nbsp;</option>
<option>1951&nbsp;</option>
<option>1952&nbsp;</option>
<option>1953&nbsp;</option>
<option>1954&nbsp;</option>
<option>1955&nbsp;</option>
<option>1956&nbsp;</option>
<option>1957&nbsp;</option>
<option>1958&nbsp;</option>
<option>1959&nbsp;</option>
<option>1960&nbsp;</option>
<option>1961&nbsp;</option>
<option>1962&nbsp;</option>
<option>1963&nbsp;</option>
<option selected="">1964&nbsp;</option>
<option>1965&nbsp;</option>
<option>1966&nbsp;</option>
<option>1967&nbsp;</option>
<option>1968&nbsp;</option>
<option>1969&nbsp;</option>
<option>1970&nbsp;</option>
<option>1971&nbsp;</option>
<option>1972&nbsp;</option>
<option>1973&nbsp;</option>
<option>1974&nbsp;</option>
<option>1975&nbsp;</option>
<option>1976&nbsp;</option>
<option>1977&nbsp;</option>
<option>1978&nbsp;</option>
<option>1979&nbsp;</option>
<option>1980&nbsp;</option>
<option>1981&nbsp;</option>
<option>1982&nbsp;</option>
<option>1983&nbsp;</option>
<option>1984&nbsp;</option>
<option>1985&nbsp;</option>
</select></font></font></font></b>
    <font face="Times New Roman,Times">
      <font face="Arial,Helvetica">
        <font size="-1">
        </font>
      </font>
    </font>
  </p>
  <h2>
    <font face="Times New Roman,Times">
      <font face="Arial,Helvetica">
        <font size="-1">
          <b><font face="Times New Roman,Times"><font size="+0">Sex:</font><font size="+1">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</font></font><font face="Arial,Helvetica"><font size="-1">Male&nbsp;<input type="radio" checked="" name="Sex" value="M">&nbsp;&nbsp;&nbsp;
Female&nbsp;</font></font></b><input type="radio" name="Sex" value="F">
        </font>
      </font>
    </font>
  </h2>
  <font face="Times New Roman,Times">
    <font face="Arial,Helvetica">
      <font size="-1">
        <h2>
          <b><font face="Times New Roman,Times"><font size="+0">Do You Smoke or use
tobacco?:&nbsp;</font><font size="+1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</font></font>
<font face="Arial,Helvetica"><font size="-1">Yes&nbsp;<input type="radio" name="Smoker" value="Y">&nbsp;&nbsp;&nbsp;
No&nbsp;</font></font></b><input type="radio" checked="" name="Smoker" value="N">
          <b><font face="Times New Roman,Times"><font size="+0">&nbsp;&nbsp;&nbsp;

Describe your Health:&nbsp;&nbsp;
<font face="Arial,Helvetica"><font size="-1"><select name="Health">
<option value="PP">Preferred Plus&nbsp;&nbsp;(Exceptional)</option>
<option value="P">Preferred&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Excellent)</option>
<option value="RP">Regular Plus&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Above Average)</option>
<option value="R">Regular&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Average)</option></select>
</font></font></font></font></b>
        </h2>
        <font face="Times New Roman,Times">
          <font size="+0">
            <font face="Arial,Helvetica">
              <font size="-1">
                <!-- NOTE: Category works as before with a few enhancements. -->
                <!-- If you're not doing multiple categories then you can follow -->
                <!-- the Category choice with :20 to specify that you want the side -->
                <!-- by side view to show for 20 years -->
                <!-- If you are doing a multiple categores view, follow the Z with -->
                <!-- :123 where 1,2,3 will be the categories to lookup.  You can choose -->
                <!-- which ever valid categories you wish up to a maximum of 6 -->
                <!-- You can further follow that by :20 to indicate that you want to -->
                <!-- show results for 20 years in the side by side view -->
                <p><b><font face="Times New Roman,Times"><font size="+0">Initial Level Term
Period:&nbsp;&nbsp;&nbsp;
</font>
<font size="+1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</font>
</font>
<font face="Arial,Helvetica">
<font size="-1">&nbsp;
<select name="Category">
<!-- <OPTION value="1">1 Year Level Term</OPTION> -->
<option value="2">5 Year Level Term</option>
<option value="3">10 Year Level Term</option>
<option value="4">15 Year Level Term</option>
<option selected="" value="5">20 Year Level Term</option>
<option value="6">25 Year Level Term</option>
<option value="7">30 Year Level Term</option>
<option value="9">35 Year Level Term</option>
<option value="0">40 Year Level Term</option>
<option value="T">To Age 65 Level</option>
<option value="U">To Age 70 Level</option>
<option value="V">To Age 75 Level</option>
<option value="F">Other Term</option>
<option value="Z:BDF:30">10, 20, 30 Year Term</option>
<!-- <OPTION value="Z:123456790TUV">All Level Term Product Categories</OPTION>
<OPTION value="I">10 Year Return of Premium</OPTION>
<OPTION value="J">15 Year Return of Premium</OPTION>
<OPTION value="K">20 Year Return of Premium</OPTION>
<OPTION value="L">25 Year Return of Premium</OPTION>
<OPTION value="M">30 Year Return of Premium</OPTION>
<OPTION value="W">To age 65 Return of Premium</OPTION>
<OPTION value="X">To age 70 Return of Premium</OPTION>
<OPTION value="Y">To age 75 Return of Premium</OPTION>
<OPTION value="N">Other Return of Premium</OPTION>
<OPTION value="Z:JKM:30">15, 20, 30 Year with ROP</OPTION>
<OPTION value="Z:IJKLMWXYN">Return of Premium Products</OPTION>
<OPTION value="8">To Age 121 Level  (No Lapse U/L)</OPTION>
<OPTION value="P">To Age 121 Level - Pay to 100</OPTION>
<OPTION value="Q">To Age 121 Level - Pay to 65</OPTION>
<OPTION value="R">To Age 121 Level - 20 Pay</OPTION>
<OPTION value="S">To Age 121 Level - 10 Pay</OPTION>
<OPTION value="O">To Age 121 Level - Single Pay</OPTION> -->
<!-- example of 10 verse 20 versus 30, with a maximum of 40 results
<OPTION value="Z:357:40">10 versus 20 versus 30</OPTION>
-->
</select>
<!-- OLD CATEGORIES 
<SELECT name="Category" size="1">&nbsp;
<OPTION value="A:20">&nbsp;&nbsp;5 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="B:20">10 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="C:25">15 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION selected value="D:30">20 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="E:35">25 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="F:40">30 Year - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="Z:BDF:40">10 versus 20 versus 30&nbsp;</OPTION>&nbsp;
<OPTION value="Z:ABCDEF:40">All Guaranteed Above&nbsp;</OPTION>&nbsp;
<OPTION value="8:40">Other Term&nbsp;</OPTION>&nbsp;
<OPTION value="T:40">to age 65 - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="U:40">to age 70 - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="V:40">to age 75 - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="I:20">10 Year with ROP&nbsp;</OPTION>&nbsp;
<OPTION value="J:25">15 Year with ROP&nbsp;</OPTION>&nbsp;
<OPTION value="K:30">20 Year with ROP&nbsp;</OPTION>&nbsp;
<OPTION value="L:35">25 Year with ROP&nbsp;</OPTION>&nbsp;
<OPTION value="M:40">30 Year with ROP&nbsp;</OPTION>&nbsp;
<OPTION value="W:40">to age 65 with ROP - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="X:40">to age 70 with ROP - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="Y:40">to age 75 with ROP - Guaranteed&nbsp;</OPTION>&nbsp;
<OPTION value="N:40">Other ROP Term&nbsp;</OPTION>&nbsp;
<OPTION value="Z:BDF:40">10 versus 20 versus 30&nbsp;</OPTION>&nbsp;
<OPTION value="Z:ABCDEF:40">All Guaranteed Above&nbsp;</OPTION>&nbsp;
</B></SELECT> -->&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
              </font>
            </font></b>
            <b><font face="Times New Roman,Times"><font size="+0">
&nbsp;&nbsp;&nbsp;Premiums to be paid:&nbsp;&nbsp;
</font></font>
<font face="Arial,Helvetica"><font size="-1">
<select name="ModeUsed" size="1">
<option selected="" value="A"> Annually </option>
<option value="M"> Monthly </option>
<option value="Q"> Quarterly </option>
<option value="H"> Semi-Annually </option>
</select></font></font></b>
            </p>
            <p><b><font face="Times New Roman,Times">
<font size="+0">Select the Amount of
Insurance:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</font></font>
<font face="Arial,Helvetica">
<font size="-1">&nbsp;
<select name="FaceAmount" size="1">
<option value="25000">$25,000&nbsp;</option>&nbsp;
<option value="50000">$50,000&nbsp;</option>&nbsp;
<option value="75000">$75,000&nbsp;</option>&nbsp;
<option value="100000">$100,000&nbsp;</option>&nbsp;
<option value="125000">$125,000&nbsp;</option>&nbsp;
<option value="150000">$150,000&nbsp;</option>&nbsp;
<option value="175000">$175,000&nbsp;</option>&nbsp;
<option value="200000">$200,000&nbsp;</option>&nbsp;
<option value="225000">$225,000&nbsp;</option>&nbsp;
<option value="250000">$250,000&nbsp;</option>&nbsp;
<option value="275000">$275,000&nbsp;</option>&nbsp;
<option value="300000">$300,000&nbsp;</option>&nbsp;
<option value="350000">$350,000&nbsp;</option>&nbsp;
<option value="400000">$400,000&nbsp;</option>&nbsp;
<option value="450000">$450,000&nbsp;</option>&nbsp;
<option selected="" value="500000">$500,000&nbsp;</option>&nbsp;
<option value="600000">$600,000&nbsp;</option>&nbsp;
<option value="700000">$700,000&nbsp;</option>&nbsp;
<option value="750000">$750,000&nbsp;</option>&nbsp;
<option value="800000">$800,000&nbsp;</option>&nbsp;
<option value="900000">$900,000&nbsp;</option>&nbsp;
<option value="1000000">$1,000,000&nbsp;</option>&nbsp;
<option value="1250000">$1,250,000&nbsp;</option>&nbsp;
<option value="1500000">$1,500,000&nbsp;</option>&nbsp;
<option value="1750000">$1,750,000&nbsp;</option>&nbsp;
<option value="2000000">$2,000,000&nbsp;</option>&nbsp;
<option value="2500000">$2,500,000&nbsp;</option>&nbsp;
<option value="3000000">$3,000,000&nbsp;</option>&nbsp;
<option value="5000000">$5,000,000&nbsp;</option>&nbsp;</select>
&nbsp; &nbsp; or use the <a href="http://www.compulife.com">
<font size="3" face="Times New Roman">COMPULIFE</font></a> Income Replacement &nbsp;<input type="submit" name="IncReplace1" value="Calculator"> 
&nbsp;&nbsp;<a href="http://65.108.138.111/moreinfo.htm">Click here for More Info</a>

<font size="3" face="Arial"><font color="#FF0000"></font></font></font></font></b></p>
            <center>
              <hr size="3" width="100%"><b><font face="Arial,Helvetica"><font size="-1"><font size="3" face="Arial"><font color="#FF0000">
Click on &nbsp;<input type="submit" value="Compare Now"> &nbsp;to receive your Comparison results&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<hr size="3" width="100%"></font></font></font></font></b>
            </center><b><font face="Arial,Helvetica"><font size="-1">
</font></font></b>
          </font>
        </font>
      </font>
    </font>
  </font>
  </font>
  </font>
</form>

Text Content

TermShopper ®    term life insurance comparisons

TermShopper is owned by COMPULIFE Software, Inc. which sells term comparison
software to thousands of life agents throughout the U.S. and Canada.    Canadian
Comparisons  

Once you answer the following questions you will receive a price comparison of
the most competitive term products for the type of term insurance that you
select. COMPULIFE will not ask for your name, address or phone number. Your
privacy is protected and no one will call you to sell you life insurance. Once
you receive your comparison, print and READ IT CAREFULLY. It contains important
advice to assist you in finding the best company and product. 

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Select Your
State:                                Alabama  Alaska  Arizona  Arkansas  California  Colorado  Connecticut  Delaware  Dist.
Columbia  Florida  Georgia  Hawaii  Idaho  Illinois  Indiana  Iowa  Kansas  Kentucky  Louisiana  Maine  Maryland  Massachusetts  Michigan  Minnesota  Mississippi  Missouri  Montana  Nebraska  Nevada  New
Hampshire  New Jersey  New Mexico  NY Non-Bus NY Business  North Carolina  North
Dakota  Ohio  Oklahoma  Oregon  Pennsylvania  Rhode Island  South
Carolina  South
Dakota  Tennessee  Texas  Utah  Vermont  Virginia  Washington  West
Virginia  Wisconsin  Wyoming  Guam  Puerto Rico  Virgin Islands  American
Samoa              Click here for Canadian Comparisons

Please enter your Birthdate:              Month  January  February  March 
April  May  June  July  August  September  October  November  December  Day  1 
2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  19  20  21  22  23 
24  25  26  27  28  29  30  31  Year  1910  1911  1912  1913  1914  1915  1916 
1917  1918  1919  1920  1921  1922  1923  1924  1925  1926  1927  1928  1929 
1930  1931  1932  1933  1934  1935  1936  1937  1938  1939  1940  1941  1942 
1943  1944  1945  1946  1947  1948  1949  1950  1951  1952  1953  1954  1955 
1956  1957  1958  1959  1960  1961  1962  1963  1964  1965  1966  1967  1968 
1969  1970  1971  1972  1973  1974  1975  1976  1977  1978  1979  1980  1981 
1982  1983  1984  1985 


SEX:                                            MALE     FEMALE 


DO YOU SMOKE OR USE TOBACCO?:       YES     NO      DESCRIBE YOUR HEALTH:  
PREFERRED PLUS  (EXCEPTIONAL) PREFERRED            (EXCELLENT) REGULAR
PLUS     (ABOVE AVERAGE) REGULAR               (AVERAGE)

Initial Level Term Period:                5 Year Level Term 10 Year Level Term
15 Year Level Term 20 Year Level Term 25 Year Level Term 30 Year Level Term 35
Year Level Term 40 Year Level Term To Age 65 Level To Age 70 Level To Age 75
Level Other Term 10, 20, 30 Year Term           Premiums to be paid:   Annually
Monthly Quarterly Semi-Annually

Select the Amount of Insurance:        $25,000   $50,000   $75,000   $100,000  
$125,000   $150,000   $175,000   $200,000   $225,000   $250,000   $275,000  
$300,000   $350,000   $400,000   $450,000   $500,000   $600,000   $700,000  
$750,000   $800,000   $900,000   $1,000,000   $1,250,000   $1,500,000  
$1,750,000   $2,000,000   $2,500,000   $3,000,000   $5,000,000       or use the
COMPULIFE Income Replacement     Click here for More Info

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Click on    to receive your Comparison results     

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