Opt-out of Transfer: Rothgard of Charter Financial Planning Limited to become a representative of FitzpatricksI/we have read the attached correspondence. I/we wish to select my/our own adviser. I/we will subsequently provide further written instructions to AMP with regards to my/our chosen adviser. I/we do not wish to be transferred or select a new adviser. I/we understand that this means I/we will no longer receive advice and service from AMP. Note: This change does not affect any financial products you may have in place such as insurance policies, superannuation and investments.Client 1Name (please print)AddressPolicy NumberContact NumberSignatureClient 2Name (please print)AddressPolicy NumberContact NumberSignatureCAPTCHA
