General Information

Mr.Mrs.

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Save up to 15% on your premiums by insuring your car and home. What kind of insurance are you interested in:

CarYesNo

HomeYesNo

Do you evaluate the cost of rebuilding your home (excluding the land) to be over 1 000 000$?YesNo

Specific NeedsWine CellarJewelleryFine ArtsOther

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I hereby authorize Lussier Dale Parizeau to send me information about its products and services by email (I will be able to modify my permission at any time):

Special offers, saving opportunities, contestsYesNo

Newsletter (general information and advice about the company and products)YesNo

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