Information Request Form

In order to receive additional information from our firm, please complete all of the following. Your request will be handled quickly and confidentially.

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Preferred mode of response: Call Mail Fax E-Mail


Please contact me regarding:

Individual Stocks & Bonds* Estate Planning
Exchange Traded Funds (EFT)* Business Planning
Retirement Planning
Mutual Funds* Life Insurance
Variable Annuities* Health Insurance
College Savings Plans* Dental Insurance

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*Representative registered with and offers only securities and advisory services through PlanMember Securities Corporation (PSEC), a registered broker/dealer, investment advisor and member FINRA/SIPC. 6187 Carpinteria Ave, Carpinteria, CA 93013 • (800) 874-6910. DuHamel & Associates Insurance and Financial Services, Inc. and PSEC are independently owned and operated companies. PSEC is not liable for ancillary products or services offered by this representative or DuHamel & Associates Insurance and Financial Services, Inc.

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DuHamel & Associates
Insurance and Financial Services. Inc.
5235 Mission Oaks Blvd., #349,Camarillo, CA 93012
(805) 484-9719 Fax (805) 484-2568
Insurance Inquiries: [email protected]
Securities Inquiries: [email protected]

Terry DuHamel - California Insurance License # 0762754

DuHamel & Associates Insurance and Financial Services is not an affiliate of PlanMember Securities Corporation.