Regional Wealth Management - Customer Interest Form

Expression of Interest

I would like to:

Customer Details

Full Name:

Email Address:

Mobile Number:


Are you a HLB Priority or Private Banking customer?

What time in the day do you prefer to be contacted?

Information Feedback

Which type of information did you read?

How would you rate the information you read

Rate from a scale of 0 to 10. 0 meaning ‘very boring’ to 10 meaning ‘very interesting’.

If you rate 0-5, could you provide more details for our improvement.

Is there any particular type of information you would like to see in your next visit?

Any other comments: (optional)