Pension Annuities Quote Form | Pension Annuities Direct

Please fill in the following form to receive an annuity quote.

Total pension fund

Tax free lump sum (%)

Value of annuity purchase

Single or Joint Life?

SingleJoint

Escalation / Inflation proofing

Guaranteed period (yrs)

Metric/Imperial

Your height (mft/in)

Your weight (kgst/lbs)

Your waist size (cminches)

Units of alcohol per week

Have you smoked in the last 10yrs?

NoYes

Year you started smoking?

Year you stopped smoking?

What type of tobacco?

How many cigarettes per day?

NoYes

Please select a convenient time & date for us to call you.

To enable us to obtain the best quote for you, we need to understand your health better. To do this, it is best if we discuss this confidentialy in our office or on the phone.

Best time to contact you (9am - 6pm).

Date you're available:

Date of birth:

By ticking this box, you agree to be contacted by Pension Annuities Direct regarding the above enquiry.

Annuities Quote Form

Please fill in the following form to receive an annuity quote.

Single or Joint Life?

Have you smoked in the last 10yrs?

Do you have any health issues? Enhanced Annuities

Please select a convenient time & date for us to call you.