The Terms are from the Option Exercise Form. I contacted the CFR share registry back in November and asked for the form in the anticipation of using it.
Advanced Share Registry Ltd
150 Stirling Hwy Nedlands WA 6009
PO BOX 1156 Nedlands WA 6909
Tel: +61 8 9389 8033
Fax: +61 8 9389 7871
www.advancedshare.com.au