Life Island Insurance Agency is pleased to be able to offer you Term Life or Whole Life insurance coverage. Life Insurance Quote RequestFirst Name *Last Name *Date of Birth *(mm/dd/yyyy) e.g. 01/01/1970Phone *Email Address *Policy Face Value *$10,000$25,000$50,000$100,000$200,000Coverage Type Term LifeWhole LifePlease Add Any Additional Information Below Attach Documents Please Verify the Information Above is Correct, then Click the Submit Button Below. Thank You. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: