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Print Form

Electronic Confirmation (Contract Note) Form

Patersons Securities Limited offers clients electronic access to confirmations (Buy and Sell contract notes). To authorise Patersons to update your contact information in our database and give you electronic access to confirmations, please complete the relevant sections below. PATERSONS CLIENT DETAILS

Patersons Account Name:

Account Designation: Registered Address for Account:

Patersons Account No.: Office Use Only – Adviser Code: Linked accounts to which these instructions also apply:

ELECTRONIC DELIVERY OF CONFIRMATIONS (CONTRACT NOTES) Please indicate below if you wish to receive your buy and sell confirmations via email or facsimile on the day of the transaction. This facility will enable you to avoid the delay experienced in receiving your contract notes via post and will also assist you in settling your trade within the three (N) days required by the Australian Securities Exchange. Please indicate whether this is a change to the existing account setting or is this is an additional destination for confirmations on the above account(s): Change Addition Email

Email Address:

Contact Name:

Facsimile Facsimile No.: ( )

Please note, where you have elected to receive confirmations via email, you will no longer receive confirmations via post.

DELIVERY OF CONFIRMATIONS TO A THIRD PARTY Please indicate below if you require confirmations to be sent via email to a third party, e.g. your Accountant:

Email Address:

Contact Name:

Relationship:

IMPORTANT NOTE: For an Individual or Joint account , all account holders must sign below. For a Sole Director company account, the Sole Director must sign below. For a non-Sole Director company account, two Directors or a Director and the company Secretary must sign below and those signing must have been previously identified on the Patersons account.

SIGNATURE ACCOUNT HOLDER #J DATE SIGNED SIGN HERE / / ACCOUNT HOLDER #K DATE SIGNED SIGN HERE / / ACCOUNT HOLDER #L DATE SIGNED SIGN HERE / /

Please return the form via post, email or fax to: Your local Patersons branch (refer to following page for branch contact details) or The New Accounts Department, Patersons Securities Limited, GPO Box WTUTV, PERTH WA WXVW PS-F%& Western Australia Victoria Cairns Office Perth Office Melbourne Office T: (+D% ]) &F&D FIFF F: (+D% ]) &F&D FIIF GPO Box WTUTV PO Box ZXTZ[ E: [email protected] Perth Western Australia WXVW Collins Street East Melbourne Victoria XUUN Gladstone Office T: (+D% ]) &E]H %FFF Level IH, Exchange Plaza, F: (+D% ]) &E]H %F%F I The Esplanade, Level %J, HHH Collins Street, E: [email protected] Perth, WA DFFF Melbourne, VIC HFFF Sunshine Coast Office T: (+D% G) EIDH %%%% T: (+D% H) EI&I &FFF T: (+D% ]) J&FE D%FF F: (+D% G) EHIJ D&JI F: (+D% H) EI&I &F&F F: (+D% ]) J&FE D%EE E: [email protected] E: [email protected] E: [email protected] West Perth Office Mt Waverley Office South Australia T: (+D% G) E&GI FEFF T: (+D% H) EGH% JFFF Adelaide Office F: (+D% G) E&GI FEEE F: (+D% H) EGFE J]&D T: (+D% G) G&F] J]FF E: [email protected] E: [email protected] F: (+D% G) G&F] J]%] Albany Office New South Wales E: [email protected] T: (+D% G) EG&I &]FF Sydney Office F: (+D% G) EG&% &I%% Australian Capital Territory T: (+D% I) GIHG DIII E: [email protected] Canberra Office F: (+D% I) GIHG DIDD T: (+D% I) D%IF IIII Bunbury Office E: [email protected] T: (+D% G) E]F] IFFF F: (+D% I) DI]H H&HH F: (+D% G) E]I% %G&F Lismore Office E: [email protected] E: [email protected] T: (+D% I) DDIH HHFF F: (+D% I) DDIH HHEE Busselton Office E: [email protected] T: (+D% G) E]J& F]FF F: (+D% G) E]J& &HHH Queensland E: [email protected] Brisbane Office Kalgoorlie Office T: (+D% ]) H]H] GFFF T: (+D% G) EFI% %&II F: (+D% ]) H]H] G%FF F: (+D% G) EFI% G%HH E: [email protected] E: [email protected] Gold Coast Office Geraldton Office Suite I, Ground Level, T: (+D% G) EED& HGFF T: (+D% ]) JDH% IHFF F: (+D% G) EED& JG%% F: (+D% ]) JDH% IHEE E: [email protected] E: [email protected] www.psl.com.au

Patersons Securities Limited ABN DE FFG GED H%% AFSL No. IHE FJI Participant of ASX Group; Securities & Derivatives Industry Association Principal Member; Financial Planning Association Principal Member