Label & Mint
Client Account Name
Client Account Number
Holder Identification No (HIN) (optional)
Old Street Address
New Street Address
Should the new street address be your registered address?
[radio* street-registered use_label_element "Yes" "No"]
Old Postal Address
New Postal Address
Should the new Postal address be your registered address?
YesNo
Please note: if you tick Yes for both your Street address and Postal address to be the registered address, the Postal address will be used.
Email Address
Should the email address noted above be used for electronic contract notes?
[radio* email-for-contract-notes use_label_element "Yes" "No"]
Phone (H)
Phone (M)
Phone (W)
I/we declare that the information provided on this form is correct and I/we understand that it is an offence to provide misleading information. Please adjust your records to reflect the changes on this form.
I/we further warrant that the information provided on this form or to my/our adviser is complete and correct and we will promptly notify Morrison Securities of any changes to this information.
Full Name
Signature (type name)
Date
All account holders must sign. For company accounts, sign in accordance with the company’s constitution.
