btamail.net.cn_0039 - 2003-01-21 insurance - mailto:nxr1@btamail.net.cn?subject=P mailto:coins@btamail.net.cn
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btamail.net.cn_0039 - 2003-01-21 insurance - mailto:nxr1@btamail.net.cn?subject=P mailto:coins@btamail.net.cn
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Return-Path: <d7818@gomail.com.ua>
Received: from 200-161-76-16.terra.com.br (200-161-76-16.terra.com.br [200.161.76.16] (may be forged))
by www.munged.ext (8.11.6/8.11.6) with SMTP id h0LIihw13859
for <chien@munged.ext>; Tue, 21 Jan 2003 13:44:45 -0500
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From: "" <d7818@gomail.com.ua>
Message-ID: <HCETKWNGQAWIXSSAIVAAJZGVGDYSHZ@165.149.126.71>
To: chien@munged.ext
Date: Tue, 21 Jan 03 14:34:55 GMT
Subject: Non Smoker & Smoker Insurance for Pennies a Day
X-Mailer: Microsoft Outlook Express 5.00.2615.200
<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?<BR>Life Quote Search saves you time and
money. <P>
<B></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>$78</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:nxr1@btamail.net.cn?subject=P' 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><br><br><br><br><TD STYLE=FONT-SIZE:10PT>If you are in receipt of
this email in error and/or wish to be removed from our list, <A
HREF="mailto:coins@btamail.net.cn">PLEASE CLICK HERE</A> AND TYPE REMOVE. If you reside in
any state which prohibits email solicitations for insurance, please disregard
this email.</TD></TR>
<b>
<b>
<b>
<b>
</TR><TR><TD>
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. All information submitted is
strictly confidential.
<BR>
</BODY></HTML>
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