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Under the Microscope
This is a chapter from Jon Marcroft’s book,
The Life Insurance Marathon
Whole Life Quoter Form
Coverage Amount ($)
First Name
Last Name
Date of Birth
*
Month
January
February
March
April
May
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December
Day
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Year
2023
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1928
1927
1926
1925
1924
1923
1922
Gender
Male
Female
Tobacco Use?
Yes
No
Health Rating
Excellent (non-tobacco only)
Above Average
Average
State
Choose...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of 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
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Payment Frequency
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Phone
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