Opt-out of Transfer: Rothgard of Charter Financial Planning Limited to become a representative of FitzpatricksI/we have read the attached correspondence. I/we wish to select my/our own adviser. I/we will subsequently provide further written instructions to AMP with regards to my/our chosen adviser. I/we do not wish to be transferred or select a new adviser. I/we understand that this means I/we will no longer receive advice and service from AMP. Note: This change does not affect any financial products you may have in place such as insurance policies, superannuation and investments. Client 1Name (please print) Address Policy Number Contact NumberSignatureClient 2Name (please print) Address Policy Number Contact NumberSignatureCAPTCHA