Final Expense Insurance Sample

Final Expence Insurance Leadid:  12412

General Information

Height (IN):  4

Height (FT):  6

Height:  6

Weight:  155

Gender:  Male

Date of Birth:  1962

Tobacco Usage:  Non-Smoker

Do you have any preexisting health
conditions or have you been declined
health insurance in the last 12 months?:  No

When does your final expense insurance expire?:  1 - 3 Months

Benefit Amount:  $5,000 - 10,000

Customer Information

Full Name:  Brian *********

Address:  ***** S Lincoln St

City:  Atlanta

State:  GA

Zip:  30301

Email Address:  ***********@gmail.com

Primary Phone:  ***-***-9834

Best Time To Contact:  Morning