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Show advertisement LIMITED ENROLLMENT ENDS MIDNIGHT JUNE 28th USE THE APPLICATION BELOW DONT LET SUDDEN HOSPITALIZATION CRIPPLE YOUR SAVINGS Fill Out and Mail OFFICIAL ENROLLMENT FORM APPLICATION TO Hi Please Print YOUR NAME. NATIONAL-BE- N FRANKLIN LIFE INSURANCE CORPORATION, Middle Initial Last CHICAGO, ILLINOIS Enrollment - by June 28th .AGE. .DATE OF BIRTH. First .SEX- (mo.dayyr.) with only $1 .SOCIAL SECURITY NO.. ADDRESS. to .ZIP CODE. .STATE. CITY. List all dependents to be covered. Use separate sheet for additional children. NAME i PL EASE PRINT) DATE OF BIRTH (mo.dayyr.) NAME (PLEASE PRINT) Spouse No-Ri- sk NATIONAL-BE- FRANKLIN Child. . Child Child. Child. Child. cic represent that neither 1 nor my spouse, if listed above, has been hospitalized due to sickness for a total of more than seven days in the last two years. I agree that if both husband and wife are covered, the husband will be the Insured. I understand that coverage will take 1 National-Be- eilect when the policy is issued. DATE. LIFE Dept. 2972 360 West Jackson Blvd. Chicago, III. 60606 DATE OF BIRTH (moVdayyr.) n Franklin Life .SIGNATURE. 2972 4801 NBL Please make check or money order payable to NBF Life. This Policy Series 5099 is available in all states where approved by the insurance department Insurance Corporation IS A MEMBER OF DETACH AND KEEP WITH YOUR RECORDS YOUR-$1-BAC- K kMO-RIS- after reading your EXTRA CASHPLUS POLICY and showing it to a family advisor you feel it does not fit your needs for any rea If F8 L mm mm mm mm The Continental Corporation m, GUARANTEE K the policy within 10 days of receipt and your be refunded promptly. There is no further obligation. son-ret- urn $1 will Established 1852 |