WILL PAY DIRECT TO YOU INCOME TAX-FREE
at a m a r a a a at a YaY er a m -aaaa mm art .w
WEEK) rJo -J
While In The Hospital From Sickness or Accident
(IT PAYS IN ADDITION TO WORKMAN'S COMPENSATION OR ANY OTHER INSURANCE)
Thin M'oliey Also
Provide Payment
or
J5.000"
AUTO TIIAUUiC
AlfilWAT
HEATH BKXKFiT
THIS policy rovers
EACH and EVERY INSURED
member ol. your family. If
several are silk or hurl at (he
same lime EACH ONE gels
paid $100 a week while in
hospital.
KAIL Til APMJCATM
MULOUIinUCAU
National now offers you a sickness and accident policy
plus accidental automobile death benefit! of $5,000,001
Not only that, you receive up to $5,200.00 PAID
DIRECT TO YOU, while in the hospital from sickness
or accidents, originating after the date of the policy.
Our Family Croup or Individual Hospital policy give
you insurance protection, liberal cash benefits, and other
privileges. This policy does not cover hospitalization for
nervous or menial disorders, rest cures or alcoholism,
denial work, childbirth or complications of pregnancy,
or confinement in government hospitals.
SI00 A WEEK SICKNESS BENEFITS
while in the hospital beginning after the third day of confinement for sickness. The
$100.00 a week is sent to you every week for as long as 52 weeks ($5,200) and is yours
to use as you see fit !
Si 00 A Vi'EEK ACCIDENT BENEFITS
while in the hospital from the first day, due to accidental injuries. This $100 is sent to
you every week as long as 52 weeks ($5,200) and is yours to use as you with.
S5000 AUTO ACCIDENTAL DEATH BENEFITS
will be paid for lost of life resulting from Ira Hit ACCIDENTS sustained while driving
or riding in any automobile, but or truck should death occur within 60 days of the
accident. This is in ADDITION TO any hospital benefits payable.
CHILDREN HECEIVE FULL $5,000 UNDER THIS BENEFIT
S5000 POLIO EXPENSE BENEFITS
FOR ANY FAMILY MEMBER INSURED WHEN STRICKEN BY POLIO.
REGULAR LOW MONTHLY RATES I Month's Premium
One Person Only (Man or Woman) (Under 65 years of age) .... $2.50
One Person Only (Man or Woman) (65 to 75 years of age) J. 50
Man and Wife (under 65 years of age) 5.00
Man and Wile and I Child (child under IN years of age) 6.50
, Either Parent and I Child (child under IB seats of age) 4.00
Either Parent and 2 Children (children under IN years of age) 5.50
For Each Additional Child Under IH years of age ADD 1.50
Children (under I years) pay reduced rates and receive one-half Hospital Benefits plus
FULL Accidental Death and Polio Benefits. Applications Accepted up to Age 75.
MAIL THIS COUPON TODAY!
APPLICATION BLANK .
FOR INDIVIDUALS OR FAMILY GROUPS
FHAA
To: National Prudential Life Insurance Company
1116 N.W. 51st Street, Oklahoma City, Oklahoma
GetMletuetfrl em KKkwiaf SI OS im payment for one month's insurance for National
PrwfcmlalTile Insurance Company's HOSPITAL POLICY.
(Please print roll naaatt of all members whom you wish included in this policy)
FIRST NAMES MIDDLE NAMES LAST NAMES DATE OF BIRTH
I MO. I DAY I YEAR I AGE
I. (APPLICANT)
ADDRESS
CITY COUNTY STATE
OCCUPATION
NAMI Of BENEFICIARY
RELATION TO APPLICANT
Have yeas or any mimtists laved received say eaedical or surgical attention within the
Jtrtve lull pankalart, date, etc.)
e At you and all msmbtrt listed above in whole and sound health to the beat of your
kaowledge and belief? . (If not. please explain.)
STATE YES OR NO .
Name of Fiaaity Doctor
Doctor's Address
Writs your name here ...
Date
Signature of Applicant
feV-40 IMPORT AST Please Answer Etery Question
Make all checks or money orders payable tot
NefieawW PrmJenlul Life Insmtmce Cearaw