Dear {{agent}}
Your customer, {{name}}, has just requested information regarding SimplyProtected Term Life Insurance. Please contact them at your earliest convenience to discuss this request.

Contact Information
Contact Name {{name}}
Contact By {{contactmethod}}
Email {{email}}
Phone {{phone}}
Address {{address}}
Comments {{comments}}

This Estimator is for informational purposes only and is not a contract or offer to provide insurance. You must apply for coverage through an American Family agent. This is only a cost estimate based on information you provided. Your actual premium may be different from the example. Policy/rider terms and conditions apply.
©{{year}} American Family Insurance. All Rights Reserved.