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Change of Contact Information



For your convenience, you can submit your change of address or telephone number to Manulife online.

If you prefer, you can instead print this form, write in your information below, and mail it to:

    Manulife
    Affinity Markets Policy Services
    P.O. Box 670
    Stn Waterloo,
    Waterloo, ON N2J 4B8

To ensure that we have enough information to process your request, please complete ALL of the following:

* Indicates required fields

Policy Information
*
(10 digits)
*
(as shown on your policy)
*
(as shown on your policy)
Your Date of Birth*
(YYYY)
Address Information
Country*
Street Number & Name*
City/Town*
Province/State*
Postal/Zip Code*
Residence Telephone*
Business Telephone
ext
Effective Date*
(YYYY)

Please check and correct your information above, and then click on "Continue". You will then be presented with a summary of the information you have sent. Please print the summary and keep for your records.


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