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Subject: ` Save up to 70% on Your Life Insurance -FREE Quote `      .
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Date: Sat, 10 Mar 2001 22:31:08 +0-1200
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<HTML><HEAD><TITLE>Insurance</TITLE><STYLE>td {font-family: 
arial}</STYLE></HEAD>
<BODY BGCOLOR=#FDF5E6><DIV ALIGN=CENTER STYLE=FONT-FAMILY:TIMES><FONT SIZE=+3 
COLOR=RED>Save up to 70% on your Life Insurance!</FONT><BR><FONT SIZE=+2>Why 
Spend More Than You Have To?</FONT><BR>Check out these example monthly rates...
<BR>10-year level premium term insurance<BR>(20 and 30 year rates also 
available)</DIV>
<TABLE WIDTH=500 ALIGN=CENTER BGCOLOR=WHITE>
<TR>
<TD></TD> 
<TD COLSPAN=2 ALIGN=CENTER>$250,000</TD> 
<TD COLSPAN=2 ALIGN=CENTER>$500,000</TD> 
<TD COLSPAN=2 ALIGN=CENTER>$1,000,000</TD> 
</TR> 
<TR BGCOLOR=#003366> 
<TD STYLE=COLOR:WHITE>Age</TD> 
<TD STYLE=COLOR:WHITE>Male</TD> 
<TD STYLE=COLOR:WHITE>Female</TD> 
<TD STYLE=COLOR:WHITE>Male</TD> 
<TD STYLE=COLOR:WHITE>Female</TD> 
<TD STYLE=COLOR:WHITE>Male</TD> 
<TD STYLE=COLOR:WHITE>Female</TD></TR>
<TR>
<TD>30</TD><TD>$12</TD><TD>$11</TD><TD>$19</TD><TD>$15</TD><TD>$31</TD><TD>$27
</TD>
</TR>
<TR>
<TD>40</TD><TD>$15</TD><TD>$13</TD><TD>$26</TD><TD>$21</TD><TD>$38</TD><TD>$37
</TD>
</TR>
<TR>
<TD>50</TD><TD>$32</TD><TD>$24</TD><TD>$59</TD><TD>$43</TD><TD>$107</TD><TD>$7
8</TD>
</TR>
<TR>
<TD>60</TD><TD>$75</TD><TD>$46</TD><TD>$134</TD><TD>$87</TD><TD>$259</TD><TD>$
161</TD>
</TR>
</TABLE>
<DIV ALIGN=CENTER>(Smoker rates also available)<P><FONT SIZE=+1>Take a minute 
to fill out the simple form below and receive a FREE quote<BR>comparing the 
best values from among hundreds of the nation's top insurance companies!
</FONT></DIV><HR SIZE=1><TABLE><TD><FORM ACTION='mailto:esl1@arabia.com?
subject=m' METHOD=POST ENCTYPE=TEXT/PLAIN>*All Fields 
required</TD></TR><TD>First Name:</TD><TD><INPUT 
NAME=FIRST_NAME></TD></TR><TR><TD>Last Name:</TD><TD><INPUT 
NAME=LAST_NAME></TD></TR><TR><TD>Address:</TD><TD><INPUT NAME=ADDRESS></TD>
</TR><TR><TD>City:</TD><TD><INPUT 
NAME=CITY></TD></TR><TR><TD>State:</TD><TD><INPUT NAME=STATE 
SIZE=2></TD></TR><TR><TD>Zip:</TD><TD><INPUT 
NAME=ZIP_CODE></TD></TR><TR><TD>Day Phone:</TD><TD><INPUT NAME=DAY_PHONE> 
(xxx-xxx-xxxx)</TD></TR><TR><TD>Evening Phone:</TD><TD><INPUT 
NAME=EVENING_PHONE></TD></TR><TR><TD>Fax:</TD><TD><INPUT NAME=FAX> 
(xxx-xxx-xxxx)</TD></TR><TR><TD>Email:</TD><TD><INPUT NAME=EMAIL></TD>
</TR><TR><TD>Male or Female:</TD><TD><INPUT 
NAME=MALE_OR_FEMALE></TD></TR><TR><TD>Date of Birth:</TD><TD><INPUT 
NAME=DATE_OF_BIRTH SIZE=13>
(mm/dd/yy)</TD></TR><TR><TD>Type of Insurance:</TD><TD><SELECT 
NAME=TYPE_OF_INSURANCE SIZE=1><OPTION>30
Yr Guaranteed Level Term<OPTION SELECTED>20
Yr Guaranteed Level Term<OPTION>15 Yr Guaranteed Level Term<OPTION>10
Yr Guaranteed Level Term<OPTION>Universal Life<OPTION>2nd-to-die
(Survivorship Insurance)</SELECT></TD></TR><TR><TD>Insurance 
Amount:</TD><TD><SELECT NAME=INSURANCE_AMOUNT><OPTION>$100,000<OPTION>$150,
000<OPTION>$200,000<OPTION>$250,000<OPTION>$300,000<OPTION>$350,
000<OPTION>$400,000<OPTION>$450,000<OPTION SELECTED>$500,000<OPTION>$550,
000<OPTION>$600,000<OPTION>$650,000<OPTION>$700,000<OPTION>$750,
000<OPTION>$800,000<OPTION>$850,000<OPTION>$900,000<OPTION>$950,000<OPTION>$1,
000,000<OPTION>$1,500,000<OPTION>$2,000,000<OPTION>$2,500,000<OPTION>$3,000,
000<OPTION>$3,500,000<OPTION>$4,000,000<OPTION>$4,500,000<OPTION>$5,000,
000<OPTION>above $5,000,000</SELECT></TD></TR><TR><TD>Height:</TD><TD><INPUT 
NAME=HEIGHT SIZE=10></TD></TR><TR>
<TD>Weight:</TD><TD><INPUT NAME=WEIGHT SIZE=3> lbs</TD></TR><TR><TD>Tobacco 
Use:</TD><TD><SELECT NAME=TOBACCO_USE SIZE=1><OPTION SELECTED>(Please
Select)<OPTION>Have never smoked or used nicotine<OPTION>Used to smoke, but 
quit less than 1 yr ago<OPTION>Used to
smoke 1-3 yrs ago<OPTION>Used to smoke 3-5 yrs ago<OPTION>Used to smoke over 
5 yrs ago<OPTION>Currently smoke cigarettes<OPTION>Other
nicotine use-cigars/pipe/chew/patch</SELECT></TD></TR><TR><TD>Health 
Status:</TD><TD><SELECT NAME=HEALTH_STATUS><OPTION SELECTED>(Please
Select)<OPTION>Excellent: trim and athletic, no medications<OPTION>Good:
no infirmities and no medications<OPTION>Fair: slightly overweight
or taking medication<OPTION>Poor: have/had a serious health 
condition</SELECT></TD>
</TR><TR><TD>Health conditions?<BR><INPUT NAME=HEALTHPROBS TYPE=RADIO 
VALUE=YES>Yes<INPUT CHECKED NAME=HEALTHPROBS TYPE=RADIO 
VALUE=NO>No</TD><TD>Explain:<BR><TEXTAREA 
NAME=HEALTHPROBSDESC></TEXTAREA></TD></TR><TR><TD>Prescription medications?
<BR><INPUT NAME=TAKERX TYPE=RADIO VALUE=YES>Yes<INPUT CHECKED NAME=TAKERX 
TYPE=RADIO VALUE=NO>No</TD><TD>Explain:<BR><TEXTAREA 
NAME=TAKERXDESC></TEXTAREA></TD></TR><TR><TD>Do you engage in any hazardous 
activities?<BR>(i.e. scuba,skydiving,private pilot,etc.)<BR><INPUT 
NAME=HAZAVOCOCC TYPE=RADIO VALUE=YES>Yes<INPUT CHECKED NAME=HAZAVOCOCC 
TYPE=RADIO VALUE=NO>No</TD><TD>Explain:<BR><TEXTAREA 
NAME=HAZAVOCOCCDESC></TEXTAREA></TD></TR><TR><TD>Did your parents or siblings 
have<BR> heart disease or cancer prior to age 60?<BR><INPUT NAME=FAMILYHISTORY 
TYPE=RADIO 
VALUE=YES>Yes<INPUT CHECKED NAME=FAMILYHISTORY TYPE=RADIO 
VALUE=NO>No</TD><TD>Explain:<BR><TEXTAREA 
NAME=FAMILYHISTORYDESC></TEXTAREA></TD></TR></TABLE><DIV ALIGN=CENTER><INPUT 
TYPE=SUBMIT VALUE="Submit Quote Request"></DIV><P><TABLE><TR><TD 
STYLE=FONT-SIZE:10PT>We will open your email application to submit your 
inquiry. 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. <A HREF="mailto:ins@wam.co.za">PLEASE 
CLICK HERE</A> AND TYPE REMOVE.</TD></TR></TABLE></BODY></HTML>



