Annuity Services Inc - free quotes for corporate sponsored annuity retirement plans

Free Annuity Quote Form

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Plan Sponsor / Plan Administrator
Company Name
Last Name
First Name
Phone Number
E-mail
Address
City
State
Zip
Proposed Annuitant / Plan Participant / Retiree
Last Name*
First Name*
Middle (Optional)
Date of Birth*
Month Day Year
Gender*

Male Female
Marital Status*

Single Married Separated / Divorced
Spouse Date Of Birth... (If Applicable)
Month Day Year
Gender of Spouse*

Male Female N/A
Phone Number*
Extension
Email
Address*
City*
State*
Zip*
Plan Type*

Qualified Plan Non-Qualified Plan
Benefit Amount*
Annuity Type Requested*

Life Annuity Life Certain - 5 year Life Certain - 10 year Life Certain - 15 year Life Certain - More (Enter your special request below) Period Certain - 5 year Period Certain - 10 year Period Certain - 15 year Period Certain - More (Enter your special request below) Joint Survivor Annuity - 50% Joint Survivor Annuity - 66 2/3% Joint Survivor Annuity - 75% Joint Survivor Annuity - 100%
Preferred Contact Method*

Phone Email
Comments and Special Requests
Should be Empty: