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Fill out this card and keep it with you as a personal record. After we receive your enrollment form and issue your policy, you will receive a permanent embossed Identification Card, imprinted with your name and policy number. We're here when you need us Physicians Mutual Insurance Company Omaha, Nebnaka M103 NAME DATE MAILED. AMOUNT SENT $ RECORD OF APPLICATION © © I i 1 i I 1 i I 3 t % ACT NOW £ i u to UJ 2 cc O Q cc 9 IL < (€*?-; $ i. >&. Physicians Mutual Insurance Company Omaha, Nebraska The All-New PROTECTION PLUS Hospital Han That Guarantees You Hospital Cash Benefits . from the very FIRST DAY for covered SICKNESS! ACCIDENTS! Pays 50% Increased Benefits for CANCER! HEART ATTACK! PLUS Pays full cash benefits at any age, even after 65 Pays in addition to any other insurance We guarantee you can't be turned down NO SALESMAN WILL CALL TX "v