Ottawa Office: 201-666 Kirkwood Ave. Ottawa, ON K1Z 5X9, Toll Free 1-800-723-6735, Tel (613) 792-3385, Fax (613) 792-3391

Atlantic Canada: 202-111 Ilsley Ave. Dartmouth, NS B3B 1S8, Toll Free 1-888-481-1088, Tel (902) 481-1088, Fax (902) 481-1089

 On-line Term Quotes by Compulife

  

 
Birth date: Month   Day   Year
Sex: Male   Female
Do You Smoke or use tobacco?: Yes   No
Describe your Health: Regular   Regular Plus Preferred Preferred Plus
Initial Level Insurance Period:
Amount of Insurance: NOTE: Dollars only, NO punctuation ($,.)
Premiums Paid: Annual   Monthly

Copyright 2004 All rights reserved R. G. Packman and Associates Ltd.