Simple Financial Planning, 18-20 Eagle Street, Glasgow, G4 9XA
0141 343 7654
Is the quote for a single person or a couple? SingleCouple
What do you want your insurance to do? —Please choose an option—Pay Out if I DiePay Out if I'm Critically ill/die
First Applicant Full Name
DOB
Gender
Have you smoked any tobacco or nicotine product, including e-cigarettes or nicotine replacement products in the last 12 months?
Second Applicant Name (if required)
Email
Phone number
How long do you want the cover to last (Number of years)?
How much cover do you need (£)?
I want my cover to? —Please choose an option—Stay the sameDecrease over timeKeep pace with inflation