Life insurance protection for your family.

Our advisors are here to help you get the coverage you need, and nothing you don't.

1. Tell Us About Yourself

This information helps to determine your cost of protection.

I agree to terms & conditions and Privacy Policy provided by the Legacy Crusade. By providing my phone number, I agree to receive text messages, emails, and calls from the Legacy Crusade.

Date of birth *

State *

Gender

Male

Female

Weight

Height (feet and inches)

How's your health? *

Average

Good

Excellent

Do you use nicotine based products? *

Yes

No

2. How much coverage do you want?

This is the death benefit—the amount that may be paid to beneficiaries in the event of your passing. Choose this amount based on what your loved ones will need. A portion of this coverage may also be accessible earlier if you get seriously ill.

Choose a protection amount *

$

Years of Coverage *

10 years

15 years

20 years

25 years

30 years

Until Death

3. Tell us about your household

Annual Household Income *

$

Number of children *

0

0
1
2
3
4
5
6 or more
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Mortgage Amount *

$0 - No Mortgage

$0 - No Mortgage
$100,000
$200,000
$300,000
$400,000
$500,000
$600,000
$700,000
$800,000
$900,000
$1 million
$1.1 million
$1.2 million
$1.3 million
$1.4 million
$1.5 million
$1.6 million
$1.7 million
$1.8 million
$1.9 million
$2 million or more
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4. Please confirm your contact information

In order to complete your quote, we will need to reach out to confirm your information

Full Name *

Phone *

Email *

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