Name *
E-Mail *
A review of my savings and investment programs * YesNo
Ways to maximize my pension and retirement income * YesNo
Ways to fund post secondary education for my children or grandchildren * YesNo
Ways to main my family’s lifestyle in the event of my death or disability * YesNo
Ways to maximize charitable gifting * YesNo
Strategies to reduce taxes * YesNo
Insurance to pay off mortgage * YesNo
Ways to offset the cost of a critical illness * YesNo
Ways to offset the substantial expense of long term care * YesNo
Ways to fund Capital Gains and other estate taxes * YesNo
Ways to ensure the value of my business goes to my family should I die, become disabled or disabled critially ill * YesNo
Life insurance on (check accordingly) * MyselfMy spouse/partnerMy children/grandchildren
Income Protection (Disability) * MyselfMy spouse/partnerMy children/grandchildren
Critical Illness Insurance on (check accordingly) * MyselfMy spouse/partnerMy children/grandchildren
Long Term Care (check accordingly) * MyselfMy spouse/partnerMy children/grandchildren