St James International

Confidential Contact Information

Please complete the form in as much detail as you can.

Name:		*
Address:		*

Post Code:
Email:
Telephone Number:

	Would you like to arrange appointment with a St James International Consultant?
	Are you interested in Retirement Planning?
	Are you interested in Regular Savings?
	Are you interested in Lump Sum Investment?
	Are you interested in Education Fee Planning?
	Are you interested in Corporate Services?
	Are you interested in Offshore Banking?
	Are you interested in finding out more about Special Offers?
	Would you like to be sent a current valuation of my personal investments?
	If you are interested in something other than the above, please complete the field below:-

	Policy numbers (if known)


When did an advisor last review your fund selection? Date Advisor
Additional comments

St James International will not disclose your details to any third party or use your details for any purpose other than that for which they are supplied.