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Protection Enquiry

The internet is not a secure medium and the privacy of your data cannot be guaranteed.

‘When completing an application form, it is important to answer all questions honestly and accurately. By not doing so the policy may be avoided and a claim refused.’

Protection Enquiry Form

Title
Best Time to Call
Your Address
Cover Required
Life Cover Product
Renewable
Cover Basis
Premium Type
Premium Frequency
Lives Assured / Cover Type
1st Life Assured
Date of Birth
Sex
Smoker
Previous Health Problems
2nd Life Assured
Date of Birth
Sex
Smoker
Previous Health Problems
How did you hear about us?

Your Privacy

We take your privacy seriously. Personal data submitted to The Mortgage Zone Ltd with this form will be treated in accordance with the General Data Protection Regulation 2016 and the Data Protection Act 2018. By submitting this enquiry form you expressly consent to be being contacted in relation to your enquiry, without prior notice or arrangement, using the contact details provided on the form.

Accept Data Protection Terms