We offer a wide range of Flexible Policies in areas including:
Transportation Property Life and Health Commercial Annuitys
  • Please call (612) 735-7426 for more information.
* Free Rate Quotes Available

 
Life Insurance Form
  Include Spouse?
First Name:
First Name:
Last Name:
Last Name:
Daytime Phone Number:
Daytime Phone Number:
Evening Phone Number:
Evening Phone Number:
Your E-mail Address:
  
Street Address:
  
City:
  
State:
  
Zip:
  
Gender:
Male    Female
Gender:
Male    Female
Date of Birth:
Date of Birth:
Tobacco Use?
Yes    No
Tobacco Use?
Yes    No

Desired Policy  
Death Benefit? $
Permanent Term    Years:
Premium? $
Target   1035 Money: $
Comments or Questions:

Existing Policy (If possible, please attach a client statement for existing policies.)
Death Benefit? $
Permanent Term    Years:
Premium? $
Monthly Quarterly Annually
Insurer:
Policy Age:
 
Death Benefit? $
Permanent Term    Years:
Premium? $
Monthly Quarterly Annually
Insurer:
Policy Age:

       

© 2014 Phalanx Financial Corp, All Rights Reserved
For a FREE Specialized Quote, please call (612) 735-7426
E-mail us at quote@phalanxindustry.com

Registered Representative and Financial Advisor of Park Avenue Securities LLC (PAS), (920 Second Avenue South, Suite 1100, Minneapolis, MN 55402) Securities products/services and advisory services are offered through PAS, a registered broker-dealer and investment advisor, (612-746-2200) Financial Representative, The Guardian Life Insurance Company of America (Guardian), New York, NY. PAS is an indirect, wholly owned subsidiary of Guardian. Foster Klima & Company, Inc. is not an affiliate or subsidiary of PAS or Guardian.

PAS is a member FINRA, SIPC.

The Living Balance Sheet® and the Living Balance Sheet® Logo are registered service marks of The Guardian Life Insurance Company of America (Guardian), New York, NY. The graphics and text used herein are the exclusive property of Guardian and protected under U.S. and International copyright laws. © Copyright 2005-2014, The Guardian Life Insurance Company of America.

The Guardian Life Insurance Company of America (Guardian), New York, NY, its subsidiaries, agents or employees do not give tax or legal advice. You should consult your tax or legal advisor regarding your individual situation.