. REGISTRY FORM Seminar: Share Selection Strategies | Half day Location: Perth Address: The University Club. University of WA. First Floor. 35 Stirling Highway. CRAWLEY Date: 19.09.2009 Time: Saturday | 9.00am to 12.30am Cost: ASA Members $50 (Note: An additional $115 ASA membership fee is required for non-members). . I WISH TO REGISTER FOR THIS EVENT Please complete with your details Name ___________________________________ Address ___________________________________________ Phone ____________________Email ___________________ ASA Member Number ____________________ For credit card payment, please complete the following: Cardholder ___________________________________ Signature ___________________________________ Card Number ________________________Expiry Date __________ Amount ___________________________________ Card Type VISA MASTERCARD (please circle) Please make cheques payable to the Australian Shareholders Association To secure your booking fax form to (02) 9411 6663 or post with your payment to ASA, PO Box 519, Chatswood, NSW, 2057