ABN: 50 008 924 570
RIGHTS ISSUE ENTITLEMENT AND ACCEPTANCE FORM
All correspondence to Boardroom Pty Limited GPO Box 3993
Sydney NSW 2001
Tel: 1300 737 760 (within Aust) Tel: + 61 2 9290 9600 (outside Aust) Fax: + 61 2 9279 0664
www.boardroomlimited.com.auenquries@boardroomlimited.com.au
Name 1
Name 2
Name 3
Name 4
Name 5
Name 6
Entitlement No.
Subregister
SRN/HIN. Number of Shares held at 7pm
on 26 November 2013
Offer Closes: 5pm AEDST 13 December 2013NON-RENOUNCEABLE ISSUE OF UP TO 163,303,144 NEW SHARES AT AN ISSUE PRICE OF 10 CENTS EACH ON THE BASIS OF 1 NEW SHARE FOR EVERY 2 ORDINARY SHARES HELD, PAYABLE IN FULL UPON ACCEPTANCE OF THIS OFFER.
A Rights AcceptanceIf you wish to accept your FULL ENTITLEMENT please complete and return this form WITH YOUR PAYMENT FOR THE AMOUNT SHOWN BELOW. The return of this form by the close date with payment will constitute acceptance of the Offer. Your signature is only required when an alteration to your address is indicated by you over the page.
Entitlement to New Shares on the basis of 1 New Share for 2 Ordinary Share held
Price Per Share
$0.10 per Share =
Amount Payable for Full Acceptance, at $0.10 per New Share
If you wish to accept PART ONLY OF YOUR ENTITLEMENT please complete this form showing in the box below the NUMBER OF NEW SHARES BEING ACCEPTED and the appropriate amount payable.
Number of New Shares accepted | Price Per Share | Amount Enclosed |
$0.10 per Share = | $ |
Payment may only be made by cheque or money order. Cash will not be accepted via the mail or at the ASF Group Limited Share Registry. Payments cannot be made at any bank.
Cheque (Record cheque details below)DRAWER CHEQUE NO. BSB NO. ACCOUNT NO. AMOUNT $AUD
$