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Payment Protection

With our preferred broker MDG online and their Lowest Rate Promise.

Insure yourself against accident, sickness, or unemployment for any monthly payment - mortgage, rent, loans.

Ensure your payments are met even if you are unable to make the payments.

Giving you peace of mind on your monthly payments is easy, firstly complete the form below, our advisors will then find the best policies for you, finally simply choose the policy you require.

Once our advisor has processed your enquiry they will contact you directly.

Monthly cover required (£)
Occupation i.e Engineer
Your full name
Home Phone Number
Work Phone Number
Mobile
Email
House Number
Postcode

Please answer the questions below:
Have you been unemployed in the last 6 months?	Yes No
Have you at any time during the last 12 months been registered unemployed?	Yes No
Do you know of any impending Unemployment which may affect you?	Yes No
Has any application for Life or Disability Insurance on your life ever been postponed, declined or withdrawn or had any special terms imposed?	Yes No
Are you aware of any impending disability, which may affect you?	Yes No
Are you in arrears with any Mortgage or other debt repayments?	Yes No
Have you consulted a Doctor/Consultant in the last 12 months other than for minor ailments?	Yes No
If you have answered 'Yes' to any of the above questions please give details in the text box below:

Data protection: From time to time we or a company we deal with may contact you with offers that may interest you, if you would like to receive any offers please check this box.

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