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2 YEAR REVIEW - SWITCH & SAVE
	First Name
	Last Name
	Phone
	Email
	State
	State Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
	Zip
	Birthday
	Month January February March April May June July August September October November December Day Year 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
	Gender
	Gender Male Female
	Smoking
	Smoking Yes No
	Insurance Type
	Type Term Final Expense Whole Life Guaranteed Mortgage
	Insurance Amount
	Amount $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 $9,000 $10,000 $15,000 $20,000 $25,000 $30,000 $40,000 $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $400,000 $500,000 $500,000+

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	Free Report Medicare Tax Free Income Turning 65 Medicare Supplemental Income Medicare Supplements IUL Health Insurance Retirement Savings Prescription Drugs Annuities Dental Final Expenses Vision Life Insurance Long Term Care Whole Life Insurance Disability Term Life Insurance Senior Care Mortgage Insurance Reverse Mortgage Accident Pet Business Insurance Business E&O Home Auto
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