Daniel Twardzik, New York Life

Get your Life Quote Started Today!

All information is kept strictly confidential. I will generate your initial quote and then reach out to you at a time that works for you!

← Back

Thank you for your response. ✨

Name

Phone

Date of Birth (YYYY-MM-DD)

State of Residence?

What type of policy are you looking for?

What benefit amount are you interested in?

If you’re unsure about the type/amount of coverage you need, provide a few details on what the policy is meant to protect. Some common answers include paying off the mortgage, replacing my lost income, children’s future needs, spousal protection, etc.

Do you have a personal history with any of the following medical conditions: Cancer, Stroke, Diabetes, Heart Disease, or High Blood Pressure(required)

Yes No

Do you use Nicotine in any capacity? (Cigarettes, cigars, vapes, smokeless tobacco, etc.)

Yes No

How would you prefer I get in touch with you to set up a quick quote consultation? (required)

Phone Call Text Email

What is the best time of day to contact you? (Ex. Before 11, Between 2-3pm, After 5pm, etc.)

Daniel Twardzik, New York Life

Protecting what matters most for 180 years and counting!

Agent and Registered Representative based out of Mandeville, LA, but proudly serving clients throughout Louisiana, Mississippi, and Alabama

Visit us

830 W Causeway Approach, Suite 1100, Mandeville, LA 70471

Hours

Mon–Fri 9am–7pm, Sat 9am–12pm

Phone

(985)705-4531

Email

dtwardzik@ft.newyorklife.com

830 W Causeway Approach, Ste 1100, Mandeville, LA 70471, United States