Request for Life Insurance Information

  • Insurance Requested

  • Proposed Insured Information

  • Date Format: MM slash DD slash YYYY
  • Please indicate the total number of family members (parents or siblings) who have died from cardiovascular disease (heart attacks and strokes), cancer, diabetes or kidney disease before the age of 70:
  • Not including those who died, please indicate the total number of family members (parents or siblings) who have contracted a cardiovascular disease (heart attacks and strokes), cancer, diabetes, or kidney disease before the age of 70:

10 benefits of working with Kluge

1.Friendly staff 2.Knowledgeable agents 3.SERVICE 4.Timely responses 5.Large variety of companies to select from 6.SERVICE 7.Will find a plan to fit your needs and budget 8.Committed to a long term relationship with our clients 9.Truly appreciate your business 10.SERVICE

Testimonials

We have been working with Kluge Insurance over the last 7 years in providing us with solutions to our insurance requirements. They have always been helpful in identifying what…

— Ron & Nancy Giuntini, Lewisburg, PA

Charlotte and her team have been wonderful over the years finding my firm the best possible insurance plans given the current AHCA environment. She comes to my office, frequently,…

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