CONSENT FORM I/We, being the undersigned, consent to the email address noted below being used by Count Gold Coast for correspondence in relation to all taxation, accounting, business services and wealth management matters. We acknowledge that if a nominated generic email address such as an 'accounts@' or 'info@' email address is nominated and used, that Count Gold Coast will not be responsible for inappropriate use of the information provided. Name: Please leave this field empty. Name(2): Please leave this field empty. Name(3): Name(4): Name(5): Please leave this field empty. I/We hereby accept the terms outlined above
