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TFSA application form - Fidelity

application FORMTax-free savings accountSUCCESSOR HOLDER AND/OR BENEFICIARY(IES) INFORMATION (optional)INVESTMENT SELECTION(cash purchase/in-kind transfer) fund codes available at In the event of a discrepancy between the code and the name, we will treat the code as correct and process INVESTMENT PROFESSIONALfor all transactionsTYPE OF ACCOUNTNote: All payments out of the account will be made to the registered owner(s).HOLDER INFORMATION (all information is mandatory) fund Code fund Name Amount $ % Sales Charge % (ISC only) Wire Order Number TOTAL INVESTMENT AMOUNT $ New accountFidelity account no.

SUCCESSOR HOLDER AND/OR BENEFICIARY(IES) INFORMATION (optional) INVESTMENT SELECTION (cash purchase/in-kind transfer) Fund codes available at fidelity.ca/fundcodes

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