Request an Enrollment Kit
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Please provide us with the following information:
First Name *    Last Name *
Address *
City *    State *     Zip *
Home Phone () -
Business Phone () -
Email
Are you currently a client of Merrill Lynch? *
Yes
  No
What is your current relationship with Merrill Lynch? (check all that apply)
   working with a Financial Advisor or Financial Advisory Team
   working with the Financial Advisory Center
   through Merrill Lynch Direct
   enrolled in an employer sponsored 401(k) program
   
   
If you have a relationship with a Merrill Lynch Financial Advisor or Financial Advisory Team, please enter their name in the space below:

Is your beneficiary a Maine Resident? *
  Yes
  No