Subject: Smart Rates on Life Insurance!!
To: None <source@NetBSD.ORG>
From: Quality Life Insurance Services <SuperCheapRates@quality-ins.com>
List: current-users
Date: 11/09/2000 15:57:25
<HTML><HEAD><TITLE>Quality Insurance Services</TITLE>
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<P align=right margin-bottom: 20px"><font face="Arial Black" size="3">Quality
Insurance Services</font></P>
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<P align="center"><b><FONT face=Arial size=2>Specializing in low cost life insurance for </FONT></b><font face="Arial"
size="3"><I><b>BUSINESS
/ PERSONAL</b>!</I></font></P>
<P align="center"><font face="Arial" size="2">If you qualify, you can buy Life Insurance at these new Rock Bottom rates:<br>
10 year Renewable Term Life Insurance</font> <font face="Arial" size="2">Annual Rates</font></P>
<DIV align=center>
<img src="http://142.165.52.12/ins-table.gif">
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<p align="center"><font size="2"><i>Rates are based on no tobacco / nicotine use.<br>
Why not let your business pay for your life insurance ?</font><br>
Ideal for Estate Planning.</i></FONT></p>
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<P style="MARGIN-BOTTOM: 0px; MARGIN-TOP: 0px" align="center"><font size="2">In most cases, medical
information can be obtained in your home or office.<br>
No money
required to find out if you qualify.</font></P>
<FORM action="http://142.165.52.12/formmail.php" method=post>
<input type=hidden name=recipient value=leads@quality-ins.com>
<input type=hidden name=required value="realname,email,Month,Day,Year,PhoneRes,Tobacco">
<input type=hidden name=redirect value="http://142.165.52.12/quote_requested.html">
<div align="center">
<center>
<table height="200" width="578">
<tr>
<td width="121"> Name</td>
<td width="443"><INPUT name=realname size=38>*</td>
</tr>
<tr>
<td width="121">Date of Birth</td>
<td width="443">Month <INPUT name=Month size=7> Day <INPUT name=Day size=5>
Year <INPUT name=Year size=6>*eg ( Mar 26 1964 )</td>
</tr>
<tr>
<td width="121" height="23">Amount</td>
<td width="443" height="23"><select size="1" name="AMOUNT">
<option>$250,000</option>
<option>$500,000</option>
<option>$1,000,000</option>
<option>$2,000,000</option>
<option>$3,000,000</option>
<option>$4,000,000</option>
<option>$5,000,000</option>
<option>$10,000,000</option>
<option>$20,000,000</option> </select>*</td>
</tr>
<tr>
<td width="121"> Phone/Bus</td>
<td width="443"><INPUT name=PhoneBus size=14>*</td>
</tr>
<tr>
<td width="121">Phone/Res</td>
<td width="443"><INPUT name=PhoneRes size=14>*</font></td>
</tr>
<tr>
<td width="121">Fax</td>
<td width="443"><INPUT name=Fax size=14>*</td>
</tr>
<tr>
<td width="121">Country</td>
<td width="443"><select size="1" name="Country">
<option selected>United State</option>
<option>Canada</option>
</select>*</td>
</tr>
<tr>
<td width="121">Email</td>
<td width="443"><INPUT name=email size=43>*</td>
</tr>
<tr>
<td width="121">Tobacco use</td>
<td width="443"><INPUT name=Tobacco size=14>(yes/no) *</td>
</tr>
<tr>
<td width="121">Height:</td>
<td width="443"><INPUT name=Height size=14>* Weight: <INPUT name=Weight size=14>* </td>
</tr>
<tr>
<td valign=top width="121">Describe Health:</td>
<td width=443><input type=text name=DescribeHealth size=43>*</td>
</tr>
</table>
<INPUT type=submit value="Send Me A Quote">
</center>
</div>
<input type="hidden" name="JobName" value="Canadian Email Service"></FORM></FONT>
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<TD style="FONT-SIZE: 8pt"><p> Quality Insurance Services is another service
of HomeGrown Publishing & Advertising Inc. We take great pleasure in offering you the finest of services.<br>
NOTE: Quality Insurance Services is strictly a professional referral
service and is not licensed to sell insurance. Rates quoted above
are not necessarily available to all people.<br>
Click here to remove> <a href="mailto:remove@quality-ins.com?subject=remove">REMOVE</a><br>
<a href="mailto:sales@quality-ins.com?subject=More Information">CONTACT US</a></p>
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