Show the Standard fan Ij Quality Print VERNAL Race Meet June M CALCUTTA Horse UTAH 1 APPLICATION BLANK mm m Hr for or family groups I Life Casualty Insurance Company I PASO DIRECT TO 1 city uth I While In Tha IT COSTS YOU ONLY 0 I am enclosing in payment for one l Ill I lie Prom month's insurance for Equitable Life and Casualty In- I SickneSS Or Company's HOSPITAL ill Where Else Can You Find a NO WAITING PERIOD i print full names of all members whom wish H POLICY which gives you liberal CASH IN- H UJ included in this M PROTECTION and OTHER KH such as receive with this NEW Let us Date of A send it to you ON with no obligation on your names-last names Da g so you can sec the numerous COMPARE THIS WITH YOUR j II RESENT POLICY HU 11 FOR THE FIRST MONTH mm Which covers the first month's introductory premium for jj j j j NO Waiting you and your entire After the first month you pay 1111 JW 1 only the following low 1 III SICKNESS BENEFITS month for members 18 to 65 lUJ sT Tv j j j j 5 benefit in the hospital from the month for members 65 to 75 M W WJ third day of This a week is sent Eleven months premiums in advance pays for one full J J I I W to you every week for as long as 50 weeks Children under 18 pay only one-half and re- r and is your to use at your one-half hospital Address IT ACCIDENT BENEFITS benefits Paid after y m AC weekly benefit while in the hospital from the first Simply fill in application blank and mail with County VJ day of injury due to any This a fl Occupation W week Is sent to you every week for as long as 50 REGULAR LOW MONTHLY RATES Name of ft m and is yours to use any way Month's S you l K Premium Relationship to Applicant 1 nASA One Person Only or Hi TT 65 years of J Have yu or any members listed above received jn Tio Waiting Period One Person Only or J j medical or surgical attention within the past 3 M In place of other regular benefits 65 lo 75 caTS of this policy pays these cash bene- Man and 65 vears f full 1 Man and Wife and 1 Child under for insured For hospital bills up to 18 of j member of your For doctor while in the Elther and 1 H f hospital up to 18 of Are and all members listed above in whole and W For appliances Either Parent and 2 Children sound health to the best of your knowledge and stricken by polio under 18 years of I up to Yes or please I For Each Additional Child under 18 years y v 1 B. cm of age ADD Maternity Benefits mail- your application r l These outstanding benefits at these low rates are K made possible because there is no agents policy fee H Pays per week while confined to the hospital or enrollment Pre-existing conditions not M f l to exceed three after the policy has been In force 01 lamy Doctor K 10 Address MH V Date of this Equitable Life Casualty f IMPORTANT Please Answer Every Question II INSURANCE COMPANY Jt m fl Make nil checks or money orders payable toi S. West Temple P. O. Box 24 GO Salt Lake City Utah Equitable Life and Casualty Insurance Company IP CAPITAL STOCK LEGAL RESERVE LIFE INSURANCE I y |