Better Business Bureau

LifeCheque® Basic Application

- if you need assistance please call toll free 1-800-474-4474 -

Please print and fill out the application below. Once you have completed the application please mail it to us at the given address, or you can scan it and email it to us at inquiries@healthquotes.ca.

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Click to open up application in Adobe Reader. To download the application so that you can print it at a later time right-click on the button above and then use "Save Target As..." (browsers vary, it may say Save Link As...).

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(click on image above to download Acrobat Reader if not installed)

Mailing Address:

HealthQuotes.ca Inc.,
64 Temperance St.,
Aurora, Ontario,
L4G 2P8