You may produce personal illustrations using our online Illustration System or by downloading our Illustrations System to your computer. However, if you would like us to send you a personal illustration for your client please complete the form below.
As Income Assured Plus has an investment option you will need to be authorised by the Financial Services Authority to give investment advice to your clients on the suitability of this product.
Please refer to the Key Features brochure to make the correct selections.
If you have any questions please contact our Sales Support team on 0800 587 5098 or email sales@cirencester-friendly.co.uk.
For more information on features of Income Assured Plus please refer to the Product Guide.
To ensure a prompt turnaround please complete all items (where applicable).
Email :
Adviser Name
Adviser FSA Number
Company Name
Company FSA Number
Part of a Network
Yes
No
If Yes Network Name
Network FSA Number
Adress
Town or City
Post Code
Phone Number
Fax Number
Client Title
Client Forename
Client Surname
Client Date of Birth
Retirement Age select all that apply
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Sick Pay Benefit to be paid from select all that apply
Day one
1 week
4 weeks
8 weeks
13 weeks
26 weeks
52 weeks
Accident Protection select all that apply
Index Linking select all that apply
Type of Contract select all that apply
Protection
Protection with investment
Client Annual Salary required to prevent over insurance
Weekly Benefit Required specify all that you require illustrations for separated by commas
Disability Definition
Commission Option
If Combination or Client Bonus enter the amount of Commission you wish to take up front
Delivery Method
Email
Post (please complete postal address above)
Fax (please enter fax number above)
