Assurance Vie You must have JavaScript enabled to use this form.Title- None -MrMrsFirst NameLast NameCountry of residenceCountry of residenceCountry of residence- Select -FranceLuxembourgOther…Enter other…Email addressMobile phone numberInitial Premium (Minimum 500,000 EUR)Sponsor?Are you already a Swissquote Bank Europe customer ?UsernamePrivacy PolicySwissquote Bank Europe S.A. will collect and process your Personal Data in accordance with data protection legislation. You have the right to access or rectify this data. For further information, please refer to our privacy policy. Furthermore, Swissquote Bank Europe S.A. may transfer your Personal Data (as defined below) to Bâloise Vie Luxembourg S.A. for the purpose of conducting suitability and appropriateness assessment on recommended insurance-based investment products. Such personal data includes, but is not limited to, (i) for the Client who is a natural person: his/her name and surname(s), address (private and/or professional) and country of residence, date and place of birth, nationality(ies), profession, contact details, preferred language, banking information, national identification number; (ii) for the Client which is a legal entity (ultimate beneficial owner(s)): the name and surname(s), address (private and/or professional) and country of residence, date and place of birth, nationality(ies), profession, contact details, preferred language, banking information, national identification number (the "Personal Data"). I expressly request to be contacted by Swissquote.