Testimonials
Thanks for your help, it was very quick and simple.Will recommend to friends.
- Tracey Waugh, Sydney
Personal Details
First Name:
Surname:
Gender:
Male
Female
Date of birth:
(dd/mm/yyyy)
Occupation:
Salary:
Contact details
Email:
Preferred Ph:
(
)
Insurance Details
Smoker:
Yes
No
Select "Yes" if you smoked in the last 12 months
Life Cover:
How much Term Life cover do you require?
TPD Cover:
How much Total & Permanent Disability cover do you require? (Lump Sum payable following total permanent disability)
Trauma Cover:
How much Trauma cover do you require?
Income Cover:
How much Income cover do you require?
*
Waiting Period:
Amount of time before benefit is paid
14 Days
30 Days
90 Days
180 Days
720 Days
* for income cover only
*
Benefit Period:
Length of time benefit
2 years
5 years
Until age 60
Until age 65
* for income cover only
Other Comments/Requests:
Copyright 2009 Keyperson.com.au All Right Reserved. Powered by
Cyberlark.org
Alliances
|
Terms of Use
|
Privacy Policy
