Policy Submission – Havana Life

THE HAVANA LIFE

Referral Community

Note the following once-off commission rates for 2022

1 VP = R 25.00 2 VPs = R 50.00 1 or 2 PVP = equivalent to one successful policy sold. 8 PVP Bonus = 20 successful policy sold by one of your downline members.

1 VP = R 25.00

2 VPs = R 50.00

1 or 2 PVP = equivalent to one successful policy sold

8 PVP Bonus = 20 successful policy sold by one of your downline members.

Register a potential policy

By entering the information of the person you referred, you acknowledge that they are interested in buying a Havana Life policy and that their details were shared upon their request and consent. Please double check the contact details before submiting.

Client's Name

Client's Surname

Client's Age

Client's Gender

Male

Female

Not Specified

Type of policy

Single Member Cover

Traditional Family Cover

Supercover

Group Scheme

Corporate Funeral Cover

Client's Address

Client's Phone Number

Client's E-mail Address

Agent's Name

Agent's Surname

Agent Number

Agent's E-mail