Life Assurance Enquiry

Please enter your contact details in the space below. All fields marked with a red asterisk must be completed in order to continue to the "Life Assurance Details" section.

To enter more than one person's details please use the "Add New Person" button above.

Please provide as much information as possible to enable our consultants to quickly & accurately process and respond to your enquiry. The information collected will be used solely for the purposes of providing background information when contacting you to arrange an appointment.

By submitting this information you have given your agreement to receive verbal contact from us to discuss your life assurance requirements.

You voluntarily choose to provide personal details to us via this website. Personal information will be treated as confidential by us and held in accordance with the Data Protection Act 1998. You agree that such personal information may be used to provide you with details of services and products in writing, by email or by telephone.

















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Please provide as much information as possible to enable our consultants to quickly & accurately process and respond to your enquiry. The information collected will be used solely for the purposes of providing background information when contacting you to arrange an appointment.

For security purposes please complete the "Captcha" section at the bottom of the form. Please note that you only have 3 attempts before the form is blocked and you will have no alternative but to re-complete it.

By submitting this information you have given your agreement to receive verbal contact from us to discuss your life assurance requirements.

You voluntarily choose to provide personal details to us via this website. Personal information will be treated as confidential by us and held in accordance with the Data Protection Act 1998. You agree that such personal information may be used to provide you with details of services and products in writing, by email or by telephone.

Life Assurance Details



Please outline the amount of cover you are seeking, the event which would trigger payment
of the benefit and any other details you think are relevant:




Your attitude to risk (1= you prefer investments with the lowest possible risk):






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We have blocked this form from submission, as this may be due to an automated system, trying to submit the form.

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Castle Mortgages (UK)
Company Address:
5,  Grove Place,  Bedford,  Bedfordshire,  MK40 3JJ
Tel: 01234 273323
Fax: 01234 273328