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Step 1: Policy Type
Which insurance are you interested in?
Permanent Life
Term Life
Critical IIIness
Disability
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Step 2: Life Insurance Needs
Do you have any dependents?
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Step 2: Life Insurance Needs
Do you have a mortgage or other loans?
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Step 2: Life Insurance Needs
Do you want coverage for your funeral costs?
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Step 3: Basic Details
Your sex?
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Female
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Step 3: Basic Details
Are you a smoker?
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Step 3: Basic Details
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Step 3: Basic Details
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Step 4: Name
Your name?
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Last Name
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Step 5: Email
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Step 6: Postal Code
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Step 7: Phone Number
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