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Quotation request for a life insurance

Quotation request for a life insurance

Personal data

First name *

Date of birth (dd/mm/yyyy) *

Postal code *

Last name *

Street/Nb.

Location *

Prefix

Phone *

E-Mail *

Your needs

What are your projects and reason of your interest for a life insurance policy? *

Make a private provision to protect your relatives in case of your premature decease and/or constitute a saving capital after the policy term (+ tax benefits)
Subscribe an old-age pension insurance in order to assure an income supplement after your active life (+ tax benefits)
Constitute savings for your children's foresight (+ tax benefits)
Constitute a savings capital with a capital guarantee at each due date and an optimised return (lalux-Safe Invest)

What duration would you like to chose for your insurance contract? *

10 years (Min. to qualify for tax benefits)
15 years
20 years or more

Which amount are you willing to invest into your life insurance? *

672 € per year or 56 € per month (per household member)
More than 672 € per year (per household member)

Which amount are you willing to invest into your pension insurance?
N.B.: Thanks to the tax reform 2017, the maximum tax-deductible amount no longer depends on the age of the policy holder but is unique : 3 200 € / year for all age categories. *

266,67 € per month (3 200 € yearly : tax-deductible maximum after tax reform 1.1.2017 *)
More than 266,67 € per month (more than 3 200 € yearly)

Which amount are you willing to invest into your life insurance?
(min. 5 000 € singel premium + 1200 € yearly)

Appointment

Thank you for setting an appointment
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Would you like to benefit from personalised advice and information on the products and services of LALUX Group digitally?

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Further information about our online forms.

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