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<form action="https://www.compulife.net//cgi-bin/cqsl.cgi" method="POST">
  <input type="hidden" name="UserLocation" value="1731">
  <input type="hidden" name="TEMPLATEFILE" value="TEMPLATE_R.HTM">
  <input type="hidden" name="HTEMPLATEFILE" value="HTEMPLATE_R.HTM">
  <span class="text-element text-1">State<br></span>
  <select class="select drop-down-1" name="State">
    <option value="1">Alabama</option>
    <option value="2">Alaska</option>
    <option value="3">Arizona</option>
    <option value="4">Arkansas</option>
    <option value="5">California</option>
    <option value="6">Colorado</option>
    <option value="7">Connecticut</option>
    <option value="8">Delaware</option>
    <option value="9">Dist.Columbia</option>
    <option value="10">Florida</option>
    <option value="11">Georgia</option>
    <option value="12">Hawaii</option>
    <option value="13">Idaho</option>
    <option value="14">Illinois</option>
    <option value="15">Indiana</option>
    <option value="16">Iowa</option>
    <option value="17">Kansas</option>
    <option value="18">Kentucky</option>
    <option value="19">Louisiana</option>
    <option value="20">Maine</option>
    <option value="21">Maryland</option>
    <option value="22">Massachusetts</option>
    <option value="23">Michigan</option>
    <option value="24">Minnesota</option>
    <option value="25">Mississippi</option>
    <option value="26">Missouri</option>
    <option value="27">Montana</option>
    <option value="28">Nebraska</option>
    <option value="29">Nevada</option>
    <option value="30">New Hampshire</option>
    <option value="31">New Jersey</option>
    <option value="32">New Mexico</option>
    <option value="52">NY Non-Bus</option>
    <option value="33">NY Business</option>
    <option value="34">North Carolina</option>
    <option value="35">North Dakota</option>
    <option value="36">Ohio</option>
    <option value="37">Oklahoma</option>
    <option value="38">Oregon</option>
    <option value="39">Pennsylvania</option>
    <option value="40">Rhode Island</option>
    <option value="41">South Carolina</option>
    <option value="42">South Dakota</option>
    <option value="43">Tennessee</option>
    <option selected="" value="44">Texas</option>
    <option value="45">Utah</option>
    <option value="46">Vermont</option>
    <option value="47">Virginia</option>
    <option value="48">Washington</option>
    <option value="49">West Virginia</option>
    <option value="50">Wisconsin</option>
    <option value="51">Wyoming</option>
    <option value="53">Guam</option>
    <option value="54">Puerto Rico</option>
    <option value="55">Virgin Islands</option>
    <option value="56">Amer. Samoa</option>
  </select>
  <span class="text-element text-1">Birthdate</span>
  <select class="select drop-down-2" name="BirthMonth">
    <option value="1">January</option>
    <option value="2">February</option>
    <option value="3">March</option>
    <option value="4">April</option>
    <option value="5">May</option>
    <option selected="" value="6">June</option>
    <option value="7">July</option>
    <option value="8">August</option>
    <option value="9">September</option>
    <option value="10">October</option>
    <option value="11">November</option>
    <option value="12">December</option>
  </select>
  <select class="select drop-down-2" name="Birthday">
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5</option>
    <option>6</option>
    <option>7</option>
    <option>8</option>
    <option>9</option>
    <option>10</option>
    <option>11</option>
    <option>12</option>
    <option>13</option>
    <option>14</option>
    <option selected="">15</option>
    <option>16</option>
    <option>17</option>
    <option>18</option>
    <option>19</option>
    <option>20</option>
    <option>21</option>
    <option>22</option>
    <option>23</option>
    <option>24</option>
    <option>25</option>
    <option>26</option>
    <option>27</option>
    <option>28</option>
    <option>29</option>
    <option>30</option>
    <option>31</option>
  </select>
  <select class="select drop-down-2" name="BirthYear">
    <option>1916</option>
    <option>1917</option>
    <option>1918</option>
    <option>1919</option>
    <option>1920</option>
    <option>1921</option>
    <option>1922</option>
    <option>1923</option>
    <option>1924</option>
    <option>1925</option>
    <option>1926</option>
    <option>1927</option>
    <option>1928</option>
    <option>1929</option>
    <option>1930</option>
    <option>1931</option>
    <option>1932</option>
    <option>1933</option>
    <option>1934</option>
    <option>1935</option>
    <option>1936</option>
    <option>1937</option>
    <option>1938</option>
    <option>1939</option>
    <option>1940</option>
    <option>1941</option>
    <option>1942</option>
    <option>1943</option>
    <option>1944</option>
    <option>1945</option>
    <option>1946</option>
    <option>1947</option>
    <option>1948</option>
    <option>1949</option>
    <option>1950</option>
    <option>1951</option>
    <option>1952</option>
    <option>1953</option>
    <option>1954</option>
    <option>1955</option>
    <option>1956</option>
    <option>1957</option>
    <option>1958</option>
    <option>1959</option>
    <option>1960</option>
    <option>1961</option>
    <option>1962</option>
    <option>1963</option>
    <option>1964</option>
    <option>1965</option>
    <option>1966</option>
    <option>1967</option>
    <option>1968</option>
    <option>1969</option>
    <option>1970</option>
    <option>1971</option>
    <option>1972</option>
    <option>1973</option>
    <option>1974</option>
    <option selected="">1975</option>
    <option>1976</option>
    <option>1977</option>
    <option>1978</option>
    <option>1979</option>
    <option>1980</option>
    <option>1981</option>
    <option>1982</option>
    <option>1983</option>
    <option>1984</option>
    <option>1985</option>
    <option>1986</option>
    <option>1987</option>
    <option>1988</option>
    <option>1989</option>
    <option>1990</option>
    <option>1991</option>
    <option>1992</option>
    <option>1993</option>
    <option>1994</option>
    <option>1995</option>
    <option>1996</option>
    <option>1997</option>
    <option>1998</option>
    <option>1999</option>
    <option>2000</option>
    <option>2001</option>
    <option>2002</option>
    <option>2003</option>
    <option>2004</option>
    <option>2005</option>
    <option>2006</option>
    <option>2007</option>
    <option>2008</option>
    <option>2009</option>
    <option>2010</option>
    <option>2011</option>
    <option>2012</option>
    <option>2013</option>
    <option>2014</option>
    <option>2015</option>
    <option>2016</option>
    <option>2017</option>
    <option>2018</option>
  </select>
  <span class="text-element text-1">Gender</span><label class="radio radio-button-1"><input type="radio" name="Sex" checked="" value="M"><span>Male</span></label><label class="radio radio-button-1-right"><input type="radio" name="Sex"
      value="F"><span>Female</span></label>
  <span class="text-element text-1">Smoker / Tobacco</span><label class="radio radio-button-1"><input type="radio" name="Smoker" checked="" value="N"><span>No</span></label><label class="radio radio-button-1-right"><input type="radio" name="Smoker"
      value="Y"><span>Yes</span></label>
  <span class="text-element text-1">Health Class<br></span>
  <select class="select drop-down-1" name="Health">
    <option selected="" value="PP">Preferred Plus</option>
    <option value="P">Preferred</option>
    <option value="RP">Regular Plus</option>
    <option value="R">Regular</option>
  </select>
  <span class="text-element text-1">Type of Insurance<br></span>
  <select class="select drop-down-1" name="NewCategory">
    <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="A">To Age 80 Level</option>
    <option value="B">To Age 85 Level</option>
    <option value="C">To Age 90 Level</option>
    <option value="D">To Age 95 Level</option>
    <option value="E">To Age 100 Level</option>
    <option value="G">To Age 105 Level</option>
    <option value="H">To Age 110 Level</option>
    <option value="F">Other Term</option>
    <option value="Z:357">10, 20, 30 Year Term</option>
    <option value="Z:1234567TUVABCDEGH">All Level Term Products</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="Z:JKM">15, 20, 30 Year with ROP</option>
    <option value="Z:JKLMWXYN">All 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>
    <option value="Z:8PQRSO">All To Age 121 Level Products</option>
  </select>
  <span class="text-element text-1"><span class="text-text-1">Amount of Insurance</span>
  </span>
  <select class="select drop-down-1" name="FaceAmount">
    <option value="10000">$10,000</option>
    <option value="25000">$25,000</option>
    <option value="50000">$50,000</option>
    <option value="75000">$75,000</option>
    <option value="100000">$100,000</option>
    <option value="125000">$125,000</option>
    <option value="150000">$150,000</option>
    <option value="175000">$175,000</option>
    <option value="200000">$200,000</option>
    <option value="225000">$225,000</option>
    <option value="250000">$250,000</option>
    <option value="300000">$300,000</option>
    <option value="350000">$350,000</option>
    <option value="400000">$400,000</option>
    <option value="450000">$450,000</option>
    <option selected="" value="500000">$500,000</option>
    <option value="550000">$550,000</option>
    <option value="600000">$600,000</option>
    <option value="650000">$650,000</option>
    <option value="700000">$700,000</option>
    <option value="750000">$750,000</option>
    <option value="800000">$800,000</option>
    <option value="900000">$900,000</option>
    <option value="1000000">$1,000,000</option>
    <option value="1100000">$1,100,000</option>
    <option value="1250000">$1,250,000</option>
    <option value="1500000">$1,500,000</option>
    <option value="1750000">$1,750,000</option>
    <option value="2000000">$2,000,000</option>
    <option value="2500000">$2,500,000</option>
    <option value="3000000">$3,000,000</option>
    <option value="4000000">$4,000,000</option>
    <option value="5000000">$5,000,000</option>
    <option value="6000000">$6,000,000</option>
    <option value="7000000">$7,000,000</option>
    <option value="8000000">$8,000,000</option>
    <option value="9000000">$9,000,000</option>
    <option value="10000000">$10,000,000</option>
  </select>
  <input type="hidden" name="SortOverride1" value="A">
  <input type="hidden" name="ModeUsed" value="M">
  <button type="submit" name="CqsComparison" class="button-submit-1">Compare Now</button>
</form>

Text Content

INSTANT LIFE INSURANCE QUOTE


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 Amer.
Samoa Birthdate January February March April May June July August September
October November December 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 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 1986 1987 1988 1989
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
GenderMaleFemale Smoker / TobaccoNoYes Health Class
Preferred Plus Preferred Regular Plus Regular Type of Insurance
1 Year Level Term 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 To Age 80 Level To
Age 85 Level To Age 90 Level To Age 95 Level To Age 100 Level To Age 105 Level
To Age 110 Level Other Term 10, 20, 30 Year Term All Level Term Products 15 Year
Return of Premium 20 Year Return of Premium 25 Year Return of Premium 30 Year
Return of Premium 15, 20, 30 Year with ROP All Return of Premium Products To Age
121 Level (No Lapse U/L) To Age 121 Level - Pay to 100 To Age 121 Level - Pay to
65 To Age 121 Level - 20 Pay To Age 121 Level - 10 Pay To Age 121 Level - Single
Pay All To Age 121 Level Products Amount of Insurance $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 $600,000 $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 Compare Now

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