RateSupermarket.ca client response

Name:
Spouse's name:
We are here to help! Our advice is completely free! Would you like us to call you to help explain the quote you received?:	Yes No
If you do not want a call at this time, would you like information by email?:	Yes No
Please clarify what information you would want by email:
When is the best time to call you?:	AM – 9 to 12 Early afternoon – 12 to 3 Late afternoon – 3 to 6 Early evening – 6 to 7 Late evening – 7 to 9
What are the telephone numbers for contact (please make note of best contact number):
What best describes your reason for looking into insurance rates:	Compare cost to existing insurance Don't have insurance Have a mortgage and looking to insure it Have mortgage insurance at the bank and expensive! Need insurance advice/life ins Need insurance advice/life and disability insurance Just getting a feel for rates
Please provide any specific information you want us to help you with related to why you are looking into getting insurance advice:
Email Address:

Benefits Ontario (Canada) 1.866.856.6799