Tailormade Financial Strategies may be contacted on the following details:

AFSL No: 40806
Ground Floor
28 Ord Street
WEST PERTH WA 6005

t	(08) 9321 0791
f	(08) 9321 0767
e	info@tailormadefs.com.au

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By completing the form below we can better understand your financial situation
and contact you to provide an obligation free financial assessment.

Title:	Mr Mrs Ms Miss
Name*:
Post Code:
Daytime Phone*:
Email Address*:
Combined Household Income:	0 - $50,000 $50,000 - $75,000 $50,000 - $100,000 $100,000 - $200,000 $200,000+
Total Value of Property Owned:	$100,000 - $300,000 $300,000 - $500,000 $500,000 - $750,000 $750,000 - $1,000,000 $1,000,000+
Number of Financial Dependants:	0 1 2 3 4 5 5+
Type of Advice Sought:	Debt Reduction Re-Finance Investment Personal Insurance Financial Planning
		Yes I am interested in a no cost, obligation free analysis of my current financial position including suggestions as to how I might become debt free quickly and painlessly.

*Required for successful submission