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Your Full Name:
Your Partners Name:
Your Email Address:
Contact Telephone:
Address:
Suburb:
Postcode:
Employment Status:
Marital Status:
Living Arrangements:
Are you a recent migrant?
I have: (please select)
A small business
A rental property
A self managed super fund
An overseas pension fund
Would you like to know more about:
1. Buying your own home?
2. Investing in property tax effectively?
3. Life, disability and income protection insurance?
4. Managing your own superannuation?
5. Tax effective wealth creation?
6. Starting a business?
7. Book keeping software and services?
8. Estates, wills and general insurance?
9. Investing to fund your child's education?
How did you find us?
Yes, please call me within 48 hours to arrange an appointment
Yes, I’d like to receive future notices, discounts and special offers from Prouse Family Accountants?

Do you accept the terms and conditions of this form?

Terms & Conditions

By completing this form you give Prouse Family Accountants Pty Ltd authority to share the information in this form with a third party.

Prouse Family Accountants Pty Ltd is committed to keeping your personal information secure and confidential. We have technology and procedures to control and limit access to your information. Most customer information is stored in computer databases owned and operated by us which is subject to restricted access and other typical computer systems security arrangements. If you cease to be a customer your records will remain securely stored.

If the service provided to you is with the assistance of related companies, contractors, agents and suppliers, we may need to provide these parties with some of your personal information (typically, your name, address and contact details). We take our obligation to protect your information seriously and we make every effort to deal only with ethical suppliers who share and demonstrate respect for your privacy.