JustinCase. ™. Canadian Life Insurance & Investment Brokers & Advisors. Free Online Insurance & Investment Quotes. Licensed in BC, AB, ON and QC

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Courriel:
daniel.latour@
justincaseinsurance.com

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danielallanlatour@yahoo.com

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Daniel La Tour

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

Toll-Free Fax:
1-888-245-5505

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

Guaranteed Issue Life Insurance to Protect Your Family

No Medical Exams
No Doctor's reports
No needles

more info...

Save Time & Money.
Free, Fast & Easy To Apply.

Request Your Life Insurance Quote & Private Consultation

For professional advice and help by a licensed Life Insurance Agent on duty now to help you choose and apply for the lowest cost and best value buy for your Life Insurance coverage based on your personal situation, complete the following Request To Quote For Life Insurance.
*Tell us about yourself*

	Province:
	E-Mail (REQUIRED):
	E-Mail again for accuracy:
	Phone:
	Fax (optional):

	Marital Status: Single Married	Homeowner? Yes No

	Currently Insured? (If yes, list carrier, and # of years continuous. If none, type N/C)

	Unusual Activities? (If you engage in unusual activities such as scuba diving, airplane flying, rock climbing, etc., list them here.)

UNDERWRITING INFORMATION

Birthdate:
Sex (M/F):		Smoker or Non-Smoker?:
Height:		Weight:

Amount of Coverage Desired?		$

Type of Coverage (See Definitions Below)		Term Life Whole Life Universal Life


If Term, list years of Level Premium. (1yr., 5yr., 10yr., 20yr.):

List Any Health Problems:

List Any Medication You Take:

Reason for Buying Life Insurance:

Send my quotation via:		E-Mail Fax Regular Mail Call Me by Phone

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me My
Life Insurance Quote NOW!

What is Whole Life\Permanent Life Insurance?

Whole Life (or Permanent Life) is intended to guarantee a death benefit for as long as the Life Insured lives. It provides a savings component that is accessible to the insured through a Policy Loan or the cancellation of the Policy. With the plan design, it is possible to pay all premiums due in 20 years with a death benefit guaranteed for life and guaranteed cash values to borrow on. Whole Life Insurance Policies requires little ongoing management once in force.

SIMPLIFIED UNDERWRITING:

No Fluid ( No Saliva, No Blood, No Urine) Applies on T10 & T 20, Whole Life & Universal Life with Face Amounts of $249,000 and Ages 45 and under

Daniel La Tour is our Licensed Life Insurance Agent in BC, AB, ON & QC.
For help and advice, contact Daniel La Tour.

Call NOW!
1-888-977-7778
(toll free)
(Monday-Friday 9-9, Saturdays 11-5, EST.
Our International Number is: 1-514-630-6116)

We do business with…

Insurance Companies

Assumption Life
AXA
Blue Cross
BMO Life
Canada Life
Canada Protection Plan
Empire Life
ETFS
Foresters
Great-West Life
Green Shield
Ingle International
Lloyd’s of London
Manulife Financial
RBC Insurance
Sun Life Financial
Travel Underwriters
Transamerica
Unity Life of Canada

Investment Fund Companies