I wish to order the DIY ("Do It Yourself") Australian Financial Services Licence (AFSL) Kit

and send together with a cheque payable to Fyfe Corp Pty Limited, to:
Level 12/ 37 Bligh St, Sydney NSW 2000

Company Name: _______________________________________________ (Include company and/or business name)

Business Address: _______________________________________________ (Full business address, including state and postcode)

_____________________________________________________________________ (Suburb) (State) (Postcode)

Postal Address: _______________________________________________ (State your postal address)

Contact Person: _______________________________________________ (State position currently held)

Email address is: _______________________________________________ (State position currently held)

Tel (work)( )_________________ Fax (work)( )_________________

What type of financial services/ products would you like the AFS licence to authorise:
_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Each kit contains a step-by -step guide to preparing and applying for an AFSL; including sample templates and tools on CD ROM. Each kit costs $999 plus GST of $99.90 (a total of $1,098.90 including GST, postage and handling).

Please complete the table below:

No of Kits Ordered (a)	Cost Per Kit (b)	Total Amount Due (c)
	$999.00 kit $99.90 GST $1098.90 total	$

Signature:________________________ Dated:__________________

Please make cheque payable to Fyfe Corp Pty Limited, and send together with the application form to: Level 12/ 37 Bligh St, Sydney NSW 2000.

NOTE: The "Do it yourself" kit contains tools to assist you with the process of getting licensed, compiled from our experience advising clients on FSR. The granting of an AFS Licence is at the sole discretion of the ASIC and we make no guarantee of obtaining the licence. Further, on-going compliance is the sole responsibility of the licensee, and is not guaranteed by us.