Please fill in this quick form to get a quick quote. My Life Funeral Cover will not share your details with outside 3rd Parties for any marketing / promotional matters without your express permission. 

Enter your First Name and Surname as they appear on your ID Book
Please select your age group.
Please enter a contact number that we can reach you on.
Please enter your email address and please confirm your email address (We’re sorry, we are trying to avoiding spamming)
Please tick the appropriate box.

Want to skip this step? 

Click the “Download now” to download a manual application form, fill it in and send it back to us on sales@empireinvestments.co.za and we will be in touch.

Download Application Now