Legal Name
*
First Name
Last Name
Email
*
Home Address
*
Cannot be a P.O. Box.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Preferred Phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
Marital Status
*
Single
Divorced
Widowed
Married
Employment Status
*
Employed
Self-employed
Retired
Student
Not employed/Not applicable
CHECK ALL THAT APPLY or "NONE" - Are you, your spouse or any immediate family member/dependents:
*
A political Official?
Associated with the securities industry.
A director or 10%+ shareholder or policy-making officer of a publicly traded company.
A senior military, governmental, or political official of a NON-US country.
NONE of the above apply.
Investment Objective
*
Current Income
High current income
Growth and Income
Growth
Add Beneficiaries
This applies to retirement accounts and TOD accounts.
Add a beneficiary to your account. Please provide their full legal name, date of birth, relation, contact information (address, phone, email) below. Also include if they are a Primary or Contingent and what % each beneficiary should receive. We may follow up for their SSN.
How do you want to receive reports?
Hard Copy
Secure Email
Client Portal Vault
How often would you like to meet?
*
As needed
Annually
Bi-Annually
Quarterly
How do you prefer to sign documents?
E-Signature
Hard Copy
Message
Anything else we should know, or any questions you'd like us to address? Let us know here.
I AGREE
*
By clicking " I AGREE", I confirm that I am authorized to share this information with Open Trail Financial Consultants. I also acknowledge that by submitting this information, I am indicating that Open Trail Financial Consultants should reach out to gather the additional information needed to open an investment account. Your information will be used for this purpose only.
I agree