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Date of Birth	Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2008 2007 2006 2005 2004 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
Height	3′ 4′ 5′ 6′ 7′ 0″ 1″ 2″ 3″ 4″ 5″ 6″ 7″ 8″ 9″ 10″ 11″
Weight	50-60 lb 60-70 lb 70-80 lb 80-90 lb 90-100 lb 100-110 lb 110-120 lb 120-130 lb 130-140 lb 140-150 lb 150-160 lb 160-170 lb 170-180 lb 180-190 lb 190-200 lb 200-210 lb 210-220 lb 220-230 lb 230-240 lb 240-250 lb 250-260 lb 260-270 lb 270-280 lb 280-290 lb 290-300 lb 300-310 lb 310-320 lb 320-330 lb 330-340 lb 340-350 lb 350-360 lb 360-370 lb 370-380 lb 380-390 lb 390-400 lb 400-410 lb 410-420 lb 420-430 lb 430-440 lb 440-450 lb 450-460 lb 460-470 lb 470-480 lb 480-490 lb 490-500 lb 500-510 lb
Coverage Years	10 yrs. 15 yrs. 20 yrs. 30 yrs.
Coverage Amount	$100,000 $200,000 $300,000 $400,000 $500,000 $600,000 $700,000 $800,000 $900,000 $1,000,000 $1,100,000 $1,200,000 $1,300,000 $1,400,000 $1,500,000 $1,600,000 $1,700,000 $1,800,000 $1,900,000 $2,000,000 $2,100,000 $2,200,000 $2,300,000 $2,400,000 $2,500,000 $2,600,000 $2,700,000 $2,800,000 $2,900,000 $3,000,000 $3,100,000 $3,200,000 $3,300,000 $3,400,000 $3,500,000 $3,600,000 $3,700,000 $3,800,000 $3,900,000 $4,000,000 $4,100,000 $4,200,000 $4,300,000 $4,400,000 $4,500,000 $4,600,000 $4,700,000 $4,800,000 $4,900,000 $5,000,000 $5,100,000 $5,200,000 $5,300,000 $5,400,000 $5,500,000 $5,600,000 $5,700,000 $5,800,000 $5,900,000 $6,000,000 $6,100,000 $6,200,000 $6,300,000 $6,400,000 $6,500,000 $6,600,000 $6,700,000 $6,800,000 $6,900,000 $7,000,000 $7,100,000 $7,200,000 $7,300,000 $7,400,000 $7,500,000 $7,600,000 $7,700,000 $7,800,000 $7,900,000 $8,000,000 $8,100,000 $8,200,000 $8,300,000 $8,400,000 $8,500,000 $8,600,000 $8,700,000 $8,800,000 $8,900,000 $9,000,000 $9,100,000 $9,200,000 $9,300,000 $9,400,000 $9,500,000 $9,600,000 $9,700,000 $9,800,000 $9,900,000 $10,000,001
Gender		Male		Female
Tobacco Use?		Yes		No
Hazardous Occupation?		Yes		No
Medical Condition?		Yes		No

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