Name:

Subject:

Message:

Marketing Consent:
By submitting this form, I consent to:

• a Financial Services Consultant of Crown Organization Branch (“Crown Organization”), to contact me (even though my telephone number is already registered on the National Do Not Call Registry) for marketing purposes, and provide me with marketing, advertising and promotional information, materials and/or documents relating to financial services marketed by Crown Organization Branch (“Crown Organization”).The consent I provide is in addition to and does not supersede, vary or nullify any consent which I may have provided previously in respect of the above purposes, unless my consent is withdrawn. I confirm that I am the user and/or subscriber of the telephone number or email provided by me.

• a Financial Services Consultant of Crown Organization Branch (“Crown Organization”), a branch unit representing Manulife Financial Advisers Pte. Ltd. (“Manulife FA”), to contact me (even though my telephone number is already registered on the National Do Not Call Registry) for marketing purposes, and provide me with marketing, advertising and promotional information, materials and/or documents relating to products and services marketed by Manulife FA. The consent I provide is in addition to and does not supersede, vary or nullify any consent which I may have provided previously in respect of the above purposes, unless my consent is withdrawn. I confirm that I am the user and/or subscriber of the telephone number or email provided by me