Show I Salt Telegram Readers I BETWEEN THE AGES OF 15 AND 59 YEARS CAN GET A I Accident and Pedestrian 9 I JJ V Insurance urance Policy for lor 10 ICO N At A Travel Trave t and Pedestrian n Policy SHOULD SHOU TAKE ADVANTAGE OF THIS g Y 0 o C U REMARKABLE OPPORTUNITY Read the Cash de and arni Sign Coupon Nov No NoO Clip This This' Coupon Today Today Today-N No No o O POLICY ICV FORM NO SYNOPSIS OF POLICY COVERAGE PART PARTI I Ij RAILROAD PASSENGER CARS PART STEAMBOATS TS S-r S STREET CARS CARIS Policy No 66 OI If It killed d or maimed by the wr cf Gt a a Railroad Passenger Pu SUBSCRIPTION AND REGISTRATION FORM FOR lU L T Car Passenger Steamboat Street Railway Car Elevated or Subway Subway Sub Sub- way Railroad Car while riding on any of them as' as a tare paying For Membership In The Th Salt Lake Telegram Readers Readers' Club Chib l the tha Company will pay subject t to the tb he C of Subscription for The Salt Lake Lako Telegram ad and the th policy the sum sinn shown herein Applications Application PART II II BUSES AUTO STAGE PASSENGER ELEVATORS L T If It killed or maimed by the wrecking of an any Omnibus 3 Taxicab Jitney or Autom Automobile Stage Stag while ri riding In any of them Old Old Subscription a as as' as asa a paying fare passenger or by the ot of any passenger passenger- e New New subscription subject to the pro th tl elevator the Company will pay pa Cross C roas out ou one o policy polley the tho sum lum shown herein PART IV PRIVATE PASSENGER AUTOMOBILES AND HORSE HORSE DRAWN DRAW t VEHICLES l lIf 00 If rr killed or maimed by the wr wrecking of any alo private h horse horse- e drawn passenger v vehicle or private motor driven passenger ear Car ai Travel and Pedestrian Accident Insurance Policy Pelley within which hh Insured la b riding or driving or while hUe so riding or driving be accidentally thrown from such vehicle or car he h he Corn Com t L the undersigned hereby apply appl for tor membership in Sa n The Tb B of ot th the policy Uc the sum lum the provision p pany W will pay subject to Like L Telegram Insured Insured Readers Reader Club for tor which I 1 agree acre to pay par parthe pay 1 shown n herein r I PART V. V t the ts e enrollment fee tu of ot and I hereby inter enter my subscription for tor forThe SPECIFIC LOSSES FOR PEDESTRIAN ACCIDENTS The Salt Luke Lak k Telegram for one year oreAr ear from date at th the regular rate rat a If It the Insured during the term ot of One Year from the and pay carrier or weekly or at th the th collection period beginning of nt the Insurance covering such euch Insured as na provided pro In conald consideration The Salt I lake ake Telegram U te to send unit me within I II 9 I being struck or knocked down downor or run over oer while walking herein by or standing on a public highway b by a Vehicle le propelled by steam etam m days daye a 1600 Travel and Pedestrian Ac Accident Policy In the th National I cable electricity naptha gasoline compre compressed sed air lI liquid uld or horse horsepower Casualty Company without further tuner coet to me I understand that power excluding Injuries sustained while working In the should ll d discontinue tny my subscription to The Sa Salt I t I Lak ak Telegram alft I highway or or while hIl ot or a railroad right of ot way b or or by the wreck wrecks before the expiration of ot this thie c contract r or r should I fall faU to pay a my myor 7 trig Ing of ot a motorcycle or bicycle on which the Insured III fe s rl riding 0 c or by being struck by lightning or a cyclone or tornado Cd d or subscription to The Th Salt Lake Telegram I forfeit my membership by the coll collapse of the outer walls wails of ot a building e or by the burns burn In In The m. Salt I rAke Lake ke Telegram 1 traders traders' Club and nd my iT Travel and of ot church hurh theatre library school lIcho or municipal building In log Ing any will be to cancellation Accident Acc dent Policy subject which th the Insured shall be tie at the b beginning of such fire suffer r any Pedestrian of the tho I specific losses set ret fort forth below In this thle Part Par V Vi TH THE COM COM- COMPANY P. P PANT PANY NY WUL WLL PAY the sum cnn shown below t.- t. n Part Par I I. I Part II II Part IV Part V V. V Print Name Nam Ag Ace For Loss Lose of ot Lit Life 2600 2500 1000 C 7 r- r 1 Both Hands 2500 2600 1030 1000 Both Soth Feet oo 2600 2400 1000 A 0 Sight of Doth Both Eyes 2500 1000 Print City State One Hand and One Foot 2500 1000 po One ne na Hand and of cf One Ey Eye 25 2500 1000 oo II I One Foot and Sight of 01 One Eye 26 0 1000 soo Either Hand d t 1250 I Print nt Address Phone No Either Foot 1260 1250 1 Sight of Either Eye 1250 oo 29 PARTS III AND ANO This Theoff off r Is la open to old aa u well as cc new subscribers Husband WEEKLY PASSENGERS INDEMNITY PASSENGERS AND PEDESTRIANS wife or an any members rs of the family between the ages AlU of ot 15 and 5 SJ n 1 Injured while traveling as i a p passenger allenger In a public years yearB c- c ct t r s living U at the same earn address ad where paper r Is t. delivered ma may maya t tor or private vehicle as provided d In Parts I II and TV TV or Injured as asa for a policy without ut aca again n a pedestrian motorcycle or bicycle rid rider by s u catastrophe as provided pro pro- register vided In Jn Part V. V will receive th the sum sum of 1000 per week while Tit ne Insurance Company ny will win not Issue policies to persons persona under persona totally disabled dl for tor a period not to exceed l 15 weeks PART PAnT VII VI 15 16 i or over 69 U years ar nor to persons blind dul crippled or who hay have REGISTRATION IDENTIFICATION EMERGENCY BENEFIT bet loat an ey or limb Nor will wll firemen patrom patrolmen n and railroad ad The Company ny will a after receiving notice noth-e itS as' as inthe the be b covered while on duty policy eJ expend nd a um sum up to S OOM Ie to care are for tor and place H t policyholder policy policy- holder In the hands hand of ot friends frIend If It end rendered rd un bi le to All Mall Subscription s Payable In Advance By Mall all 10 0 per pr Year Yar with friends because of accident or Illness I j t. t t c |