Registration Form

Quebec Unitholder Information

Please complete as many fields as you can to the best of your ability, and in accordance with the registered Units.

Quebec Unitholder - Company Name/Last Name of Person (as applicable)*

Quebec Unitholder - First Name of Person (if applicable)

Username*

Email*

Password*

Enter Password Confirm Password

The username and password will allow you to have access to the Secure Claimant Portal within 48 hours, subject to approval by the administrators of the website.

Phone*

Address*

Street Address Unit No. (if applicable) City Province / Territory / State Postal code Country

Add all funds you hold Units in:

* Click the plus button to add more Funds
* Please fill in the date fields in the following format : DD/MM/YYYY

Fund Name

Class of Units (if known)

Date of Purchase of Units

Date of Redemption Request (if any)

Date of Confirmation Notice (if any)

Approximate Value of Units (In Canadian Dollars)

Untitled

I am in possession of documents/records that verify the Units I described above?

Representative Information

Please complete the information below to the best of your ability:

Do you have a representative?*

Yes

Name of Representative

Representative's Email

Representative's Phone

Representative's Address

Street Address Representative's Address (Unit No.) City Province / Territoire / État du représentant Country

Do you allow us to contact your representative and share your information?

Yes

Comments

This field is for validation purposes and should be left unchanged.

Registration will be available in the next few days. We encourage you to check back later to register.