FPA Accredited Estate Planning Strategist (AEPS) Program

	Please fill out the form below to register your interest in the program or to request more information.

1.	Please enter your details*
	First name*   Surname*   Company name*   Job title*   Phone*   Address

2.	Email address* We will send you more information to this email address

3.	Are you a current member of the FPA?*
	Yes No

4.	Select one or more of the following:*
	I'd like to request an application form and program brochure on the Estate Planning Strategist Program    I'd like to know more about becoming an FPA member    Ask a question about the program

5.	The Accredited Estate Planning Strategist Program is currently being run in Sydney and Melbourne. Please indicate which location you would be interested in attending, or please express your interest in attending the program in another State or Territory. Courses will be run in other locations subject to demand.
	Sydney Melbourne Other location, please specify which State or Territory

6.	What prompted you to enquire about the AEPS Program?*
	Email from Estplan Pty Ltd Estplan planning tips Estplan connection My licensee / company Print ad in Financial Planning magazine FPA connection Other, please specify