FastTermInsurance

888-333-1234

	Qualify for up to $150,000 of
		Term Life Insurance
		No Medical Exam
		Just Answer A Few Health Questions*

* Fill out this form or call Statewide Insurance at 555.555.5555

First Name:

Last Name:

Phone

Email:

Gender:

Date of Birth:

Coverage Amount:

In the past 12 months, have
you used tobacco or
nicotine in any form?

Yes No

Your data will not be shared with anyone other than the agent assigned to your request for the purposes of quoting life insurance.

Why choose FastTermInsurance.com?

With Basic Term, once you apply online and are accepted for coverage, your insurance protection begins the very same day. Your premium is guaranteed. You have no obligation, and absolutely nothing to lose: Every policy comes with a free 60-day Free Look Period. Get a policy in no time at all.

Protection to fit your needs — Choose coverage from $50,000, $100,000 or $150,000.

Fixed pricing — Your premium will remain the same and will not increase for the term of your policy. 15 year level term.

Hassle-free application process — You will receive an approval or declined decision within a few days.

Accelerated death and Terminal illness riders available

To view a flier for this product, click HERE

Sample Rates**

Male	50000	100000	150000
25	19.82	25.81	35.04
30	19.91	26.16	35.7
35	20.13	26.78	36.49
40	24.89	34.13	47.64
45	31.06	44.89	63.66

This is a quick issue term life insurance product that does not require a medical exam. Cheaper products are available. However, you would need to complete an application, take a medical exam(which includes blood work) and wait up to 4 weeks for an underwriting decision. IF you are interested in fully underwritten term coverage, call 888.888.8888 or visit our main site http://allstateagencies.com/bstenmoe/Welcome

Get coverage fast without the hassle of a medical exam. Get a quote for life insurance today and have your family covered in no time*

*policy issuance depends on the answers to health questions on the application

**Rates listed are information purposes only, and do not represent a quote for life insurance. Rates listed are for male, basic non tobacco. For additional information on rates call 888.888.8888. Rates as of 06/11 and subject to change. Guarantees are based on the claims-paying ability of the issuing insurance company. Allstate Basic TermSM is a term life policy (LU10987 series in most states) issued by Allstate Life Insurance Company, Home Office, Northbrook, IL. Available riders include the Accelerated Death for Terminal Illness (LU10990 series). See rider for terms, conditions and restrictions. Subject to state availability.