Financial Mentoring

Who is filling out this form? *

Me - The Client

Agency Representative

Name *

First Name

Last Name

What services do you require? *

Please check all that apply

Budgeting

Creditor Negotiation

Debt Management

Kiwisaver Withdrawal

Insolvency

Money Mates Programme

What days work best for you? *

Please check all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

When are you most available?

Please check all that apply

Morning

Afternoon

Inside school hours