Name & Surname		Investment Plan Quotation Request
Date of birth			dd/mm/yyyy
E-mail address			We will send your quote to this e-mail
Telephone			In case of any queries
Monthly Investment	R		Amount you can afford to invest monthly
Capital Investment	R		Any capital you have at present to invest
Duration of Investment		years	State how many years you want to invest for
Investment Personality		Adventurous   Balanced    Cautious	See our Investment Personality Questionnaire
Income required	R		Only applies if you invest a lump sum and wish to receive a monthly income from your investment
Comments			Any other information you have or comments