Contact Us now - Instant Life Insurance

Get a Free Quote

Type of Insurance *required field

Amount of Insurance *required field

Smoker?

Yes

*required field

First Name *required field

Last Name *required field

Date of Birth

Day *required field

Month *required field

Year *required field

Unfortunately the eligibility age for our plans is up to age 18 Unfortunately the eligibility age for our plans is up to age 80 Please select a valid Date of birth

Gender

Male

Female

*required field

Phone Number *required field

Email *required field

No. & Street *required field

Province *required field

Postal Code *required field

Please read our Terms & Conditions and Privacy Policy

Contact

Our head office address:

8000 Jane Street
Tower A, Suite 101, Concord ON
L4K 5B8

To contact us please complete this form and you will be assisted within 1 business day:

First Name

Last Name

Phone Number

Message

Get a Free Quote

Contact

Our Providers