Name

E-mail Address

Company name

Address

City

Province BC SK AB MB ON PQ NS NB NF PEI     Postal Code

Phone number

Fax Number

Designations (check all that apply)
CFP
R.F.P.
CHFC
CLU

Specializations (check all that apply)
Retirement planning
Financial planning
Estate planning
Group benefits
Life insurance
Financial planning for women

Tell us a little bit more about yourself (consider this space your '30 second elevator speech')! Be sure to include details of your experience in the industry, why financial planning education appeals to you, any experience you have in teaching adults or experience in using seminar programs as a prospecting tool.

Please forward me yearly updates at a cost of $150.00 (plus GST) per year,
Maximum Income Strategies

Where did you hear about us (check all that apply)
Trade show
E-mail
Seminar
Web site
Conference