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LIFE QUOTE.

We can help you plan for your family’s future financial security. Our life insurance policies offer a wide range of options that can be tailored specifically to you and your family’s needs.

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Lets Get You Started.

Do you consent to the collection and use of the personal information you provide as part of this online quote request?

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Yes

Yes

No

No

Whats Your Postal Code?

Where Do You Live?

Whats Your First & Last Name?

Whats Your Phone Number & Email Address?

Whats Your Birth Date?

How Do You Identify?

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--Select--

Male

Male

Female

Female

Other

Other

When Should The Policy Start?

Are You A Smoker Or Non Smoker?

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--Select--

Smoker

Smoker

Non Smoker

Non Smoker

Benefit Payout Amount Requested.

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$200,000 - $300,000

$200,000 - $300,000

$300,000 - $400,000

$300,000 - $400,000

$400,000 - $500,000

$400,000 - $500,000

$500,000 - $1,000,000

$500,000 - $1,000,000

Whats Your Reason For Purchasing Life And/Or Critical Illness Insurance?

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--Select--

Personal

Personal

Business

Business

Charity

Charity

Whats Your Maximum Monthly Budget?

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$50 - $100

$50 - $100

$100 - $150

$100 - $150

$150 - $200

$150 - $200

Life Insurance products including segregated funds and annuities are underwritten and administered by Co-operators Life Insurance Company Inc. Home and Auto insurance is underwritten by Co-operators General Insurance Company. Mutual funds are offered through Co-operators Financial Investment Services Inc. Commissions, trailing commissions, management fees and expenses all may be associated with mutual fund investments. Please read the Prospectus before investing. Unless otherwise stated, mutual fund securities and cash balances are not covered by the Canada Deposit Insurance Corporation or by any other government deposit insurer that insures deposits. There can be no assurances that a money market fund will be able to maintain its net asset value per security at a constant amount or that the full amount of your investment in the fund will be returned to you. Mutual funds are not guaranteed, their values change frequently, and past performance may not be repeated.

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