AMPFP Client Election Form

Form to fill in if remaining with AMPFP

I/we wish AMPFP to continue to act as my adviser. I/we understand that AMPFP may, after consultation with me/us, appoint another AMPFP authorised representative to look after my/our financial planning needs.

Alternatively, I/we want AMPFP to appoint the following AMPFP authorised representative to look after my/our financial planning needs:
Name of appointed AMPFP Authorised Representative:
Client 1
Name*
First Last
Contact Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
- Add another client
Client 2
Name
First Last
Contact Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Client 1