ABC's of Funeral Planning

The

's of Funeral PrePlanning

We Offer Real, Low Rate, Burial and Life
Insurance Solutions:

For Individuals Up To Age 90
With Multiple Health Problems
With HIV or AIDS
Who Want to Insure Loved Ones(Six Month Contestable May Apply)

Insurance Information Request Form

Full Name:
Sex:	Male Female
Age:
Street Address:
City:
State:
Zip:
Phone Number:
Email:
Date of Birth:
Height:
Weight:	lbs.
Occupation:
Amount Desired:
	Please List All Current Medical Problems and Medications You Are Taking:
Best Time For Us To Contact You:	Morning Afternoon Evening

DENI ENTERPRISES
National Funeral Services and Final Estate Planning Network
P.O. Box 511 Sunland, CA 91041
Voice (818)951-3364
Fax (818)248-7173
License #0A97826