Pure Endowment - Swiss Insurance Partners

Thank you for requesting a personal quotation via Internet.

This form is designed for your convenience and to handle your request most efficiently. Please tick the appropriate boxes and fill in the relevant fields according to your individual needs.

Please note that Swiss insurance policies can be tailor-made to suit the most individual needs. There are many extra features available such as premium waivers in case of disability or death, annuity reduction for joint annuitants, etc. Please contact us for individual advice and assistance to provide you with the best solution.

With the Pure Endowment policy you accrue an agreed amount by a certain date while being assured of a refund of the investment in case the insured person dies before the policy matures.

Yes, I would like to receive a personal quotation for a Pure Endowment policy.

Insured person
Date of birth*	/ /
Gender*
Country of residence*
Nationality*

Annuity specifications
Currency*
Date of first premium payment*	/ /
Date of Maturity*	/ /

Quotation option
a)	I would like to pay a	of
	You will receive a quotation for the insured capital payed out at the maturity date.

b)	Insured capital (benefit) payed out at the maturity date:
	Please specify amount:
		minimum of USD 50'000 or equivalent
	I would like to receive a quotation for a

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Contact information
Please send my personal quotation to the following address:

Salutation*
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Additional information

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Important Note: All information is treated with highest confidentiality once received by us. However, data contained in this form may be viewed by third parties while in transit. For maximum information security print this form and send it by fax or mail.

Due to international differences in legislation and regulatory constraints, Swiss Insurance Partners make no warranty of any kind, express or implied, regarding the availability of any product or insurance scheme in any country.