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Who are you looking to get insurance for?

Just Me

Me & My Partner

What type of insurance are you looking for?

Term

Permanent

I'm not sure

What’s your gender?

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Have you smoked tobacco in the last 12 months?

Yes

No

How much coverage would you like?

$0 - $99,999

$100,000 - $249,999

$250,000 - $499,999

$500,000 - $999,999

$1,000,000 +

What is your name?

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