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What would you like to cover?
My family My mortgage Family & mortgage

Family protection

This cover pays out a fixed lump sum if you die during the term of your policy.

Mortgage protection

This cover decreases in line with your mortgage.

Family & mortgage protection

This cover decreases in line with your mortgage and also pays out a fixed lump sum if you die during the term of your policy.
Have you smoked any cigarettes, cigars, a pipe or used nicotine replacements in the last 12 months?
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How much cover would you like?
How long would you like your cover to last?
What is your date of birth?

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First name

Last name
Have they smoked any cigarettes, cigars, a pipe or used nicotine replacements in the last 12 months?
Yes No
What is their date of birth?

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