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1-888-977-7778 Monday-Friday 9-9, Saturdays 11-5, EST. Our International Number is: 1-514-630-6116

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World Headquarters:
147 Place Terry Fox
Kirkland, Quebec
CANADA H9H 4Z5


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First Name:
Last Name :
Telephone:
E-Mail (REQUIRED):
E-Mail again for accuracy:
How Long have you been a lawyer? Years:
Legal Specialty:

Litigation

Merger & Acquisitions

Divorce

Criminal

Other

 
Are you a Partner in your firm?

Yes No
Do you have Partnership Insurance?

Yes No
Are you Incorporated?

Yes No
Are you an employee or an employer?

Employee
Employer
Do you pay into Employment Insurance?

Yes No
Are you covered by Workmen's Compensation?

Yes No
 
Do you belong to a Lawyer's Association? Name of the Association:
 
Do you have Lawyer's Association Insurance?

Yes No
Canadian Bar Association Insurance Plan?

Yes No
Member Of :

Ontario Trial Lawyers Association

British Columbia Trial Lawyers Association

Alberta Trial Lawyers Association

Atlantic Canada Trial Lawyers Association

Le Barreau du Quebec Trial Lawyers Association


Annual Income:
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Are you on regular medication? What are they?Since When?


Life Insurance?
Term Life Whole Life
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Amount of coverage:

 
Disability Ins. Currently? (monthly)
Benefit Period:
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10 Years
To Age 65
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Critical Illness Insurance (lump sum benefit amount)

Health & Dental Insurance:
Individual Family
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Your existing insurance policies?
 
Are you involved in any extreme sports? What are they?
 
 
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What information are you interested in?
What amount of insurance coverage do you want us to quote on?
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(514) 630-6116
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(Monday-Friday 9-9, Saturdays 11-5, EST.)

Let Us Help You Review & Quote For Your Insurance Needs

What insurance plan to buy requires the advice and help of a licensed Professional Insurance Broker dedicated to helping you achieve peace of mind and financial security.

We help you shop to compare together by free and private phone consultatio instant messaging and email support , insurance companies and products to find your insurance and best value buy, for less money and time.

Canadian Citize Permanent Residents, Visitors To Canada International Students, World Travelers, Ex-Patriats can get free instant online, quotes, info, advice, financial services and help by text messaging, email and phone.


Daniel La Tour is our Licensed Insurance Agent & Broker in the Canadian Provinces of BC, AB, ON, QC, NB, NF & LABRADOR and our Mutual Fund Representative in the Province of Quebec, Canada.

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Monday to Friday 9 to 9, Saturdays 11-5, Eastern Standard Time


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Disclaimer:
You do not pay for our professional fees. The Insurance Company pays us.

Commission fees and bonus money is paid to us by the Insurance Companies if you accept our personal financial advice, agree to do business with us, approve our best offer to insure you and your Insurance coverage is in force by the Insurance Carrier.

 

 


 

 

 

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