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CONTACT AND DIRECTIONS

Simply SMS

"Louise"

to

47991 and

an agent

will call you!

  • Please understands that by filling in the Application Form you are by no means completing or stepping into an Insurance Contract.

  • The Application Form serves merely as a request to be contacted by Affinity Health

Declaration

 I hereby confirm by submitting my information I authorise an authorised agent of Affinity Health to contact me and discuss and assist me to formulate an quotation

 I also agree that I have completed this enquiry form on my own accord based on my assessment of the advertising material provided

 I understand that this enquiry is merely an expression of interest in the mentioned product and not an application form

 

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