To better serve you, please tell us a little about yourself. The contents of this form will be e-mailed to Radko Lamac, Investment Advisor at RBC Dominion Securities. All information will be held strictly confidential and will not be shared.

Thank you for your time and we look forward to meeting you.

Name:* Address: E-mail:* Phone:   Best day and time to meet: Best place to meet: Sidney Victoria Other: What type of Investment Strategies are of interest to you? Manage my assets RSP growth Investment for income RIF management Tax-efficient investing Protect my heirs Best Bond & GIC rates Charitable donations         I am not sure, 'what does all this mean?' Questions or comments: