Contact Parker/Hunter: Contact us about our Financial Products

·	Insurance
·	Long Term Care Insurance
·	Life Insurance

Financial Products
Mutual Funds, Annuities, Insurance

1. Do you currently own mutual funds?
Yes No

2. Do you feel your insurance is working in conjunction with your overall financial plan?
Yes No

3. My specific question about equity investment management is:

4. Are you currently a Parker/Hunter, a division of Janney Montgomery Scott LLC client? If so, who is your Financial Consultant?

If you are not a client, how did you hear about us?
Internet search
Radio
Television
Print: Newspaper
Print: Magazine
Direct Mail
Attended a Seminar
Attended an Event (investors fair, expo, etc.)
Referral from a family member, friend, co-worker, etc.
Other:

5. Contact Me:

First Name: *	Last Name: *
Company Name:	Title:
Address:
City:
State/Province: *
Postal Code:
Email: * Phone: ( ) Fax: ( ) Other Information: Please call: (Best time) a.m. p.m. Please mail literature Please inform me of seminars YES, I do NO, I do not allow a representative from Parker/Hunter, a division of Janney Montgomery Scott LLC to contact me by phone in response to information I've requested here.

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Parker/Hunter, a division of Janney Montgomery Scott LLC.

© 2005 Janney Montgomery Scott LLC. All Rights Reserved. Member: NYSE, NASD, SIPC

Parker/Hunter, a division of Janney Montgomery Scott LLC investment professionals are available to discuss the suitability and risks involved with various financial products and strategies. We will be happy to provide a prospectus, when available, and other information upon request. We will not accept orders online. If you send us an e-mail, DO NOT INCLUDE TRADING INSTRUCTIONS. Should the viewer leave this site via a link, the existence of such links should not be construed as an endorsement, approval or verification of Janney Montgomery Scott LLC of any content available on third party sites.