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The information contained in this website is targeted at UK consumers and businesses. Verity Wealth Management LLP is an Appointed Representative of Sesame Ltd which is authorised and regulated by the Financial Services Authority. Verity Wealth Management LLP is entered on the FSA register (www.fsa.gov.uk) under reference 494570.


Verity Wealth Management LLP. Registered office and Postal address: 8 Dalamere Close, High Generals Wood, Washington, Tyne and Wear. NE38 9DH

Tel: 0191 417 4799 or 0191 252 9318. Email:  office@veritywm.co.uk. Registered in England Number: OC342327

Please complete the form below for a free, no obligation Life Assurance Protection quote.


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Request for Free Term Assurance Quotation



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Second Person Covered (if required) - Please complete all the boxes

Mr, Mrs, Ms etc

Forename:

Date of birth (DD/MM/YY)

Amount of Life Cover required (£'s)

Term required (1-25 years)

Is the Life Cover to cover a mortgage?

Would you like us to quote for Critical Illness cover at the same time?

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PLEASE SEND ME A FREE NO OBLIGATION QUOTATION FOR TERM LIFE ASSURANCE BASED ON THE ABOVE INFORMATION


About The Cover You Require?

Do you smoke:

Yes

No

Personal Details

You may be assured that all personal details entered on this form will remain confidential to Verity Wealth Management, and will not be disclosed to third parties nor will any detail or address be used for marketing purposes. They will only be used for the purposes of producing your term life insurance quotes. Please ensure, however, that you fill out every box in order to enable us to provide you with your quotation for affordable life assurance.

Any quotation issued, based upon the information you provide below, is for information only. We offer no advice or recommendation as to the product’s suitability given your circumstances. Please note that all quotations are produced on assumptions that you will be the policy owner and that you require the cheapest policy. If you wish to received advice and a recommendation please call us on Tel: 0191 417 4799 or 0191 252 9318 to arrange an appointment.


Free Initial Quotation Term Life Assurance Critical Illness Income Protection