FUNERAL CONTRACTS
INFORMATION INQUIRY
Surname
Firstname
Address
Zip Code
City
e-mail
address
Country
Date of birth
Place of burial or cremation
Dept
burial
Funerals:
cremation
without worship
Worship:
religious
catholic
protestant
jewish
moslem
boudhist
contract n°1
contract n°2
contract n°3
contract n°4
Funeral contract chosen
sole cash payment
3 years running payment per year
6 years running payment per year
10 years running payment per year
Payment chosen*
*from 75 years old onwards, a sole cash payment is obligatory
+ 450FF Fee to Association Générale de Prévoyance
LA QUIÉTUDE
Additional information requested: