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Get Certified Asset Management Assessor Application Form

Ste 4200 Chicago IL 60606-3191 Bank Name FirstMerit Bank Bank ABA Number 041200555 Bank Address 295 FirstMerit Circle. Akron OH 44307-2359 Please debit my Mastercard Visa please note that the AUD equivalent will be debited from your credit card Card Number Expiry Date Amex Name on Card CCV Signature I confirm that I have completed my on-line profile and provided a copy of my IAM Certificate. Date Signed Please complete and return to WPiAM info wpiam.com www. wpiam.com World Partners in Asset Management c/o Howe Hutton Ltd. 00 I am a member of AM Council ABRAMAN IFRAMI PEMAC SMRP USD 130. 00 Payment Method by Bank Transfer I am paying by direct bank transfer to World Partners Amount plus USD 10 transfer fee Account Name World Partners in Asset Management LLC Account Number 50 5032 0374 Account Address 20 N Wacker Dr. Ste 4200 Chicago IL 60606-3191 Bank Name FirstMerit Bank Bank ABA Number 041200555 Bank Address 295 FirstMerit Circle. Certified Asset Management Assessor Application Form for Holders of the IAM Certificate Title First Name Family Name Address Suburb State Country Phone Fax Email Company / Organisation Post Code Position Fee Payable Certification with Exam equivalent 2016/17 prices USD 260. 00 I am a member of AM Council ABRAMAN IFRAMI PEMAC SMRP USD 130. 00 Payment Method by Bank Transfer I am paying by direct bank transfer to World Partners Amount plus USD 10 transfer fee Account Name World Partners in Asset Management LLC Account Number 50 5032 0374 Account Address 20 N Wacker Dr. Akron OH 44307-2359 Please debit my Mastercard Visa please note that the AUD equivalent will be debited from your credit card Card Number Expiry Date Amex Name on Card CCV Signature I confirm that I have completed my on-line profile and provided a copy of my IAM Certificate. I agree to conform to the World Partners in Asset Management Code of Ethics during the term of my changes to the Code of Ethics that my actions may be reviewed by a committee of my peers and that failure to abide by these ethical obligations is a violation of WPiAM policy and may result in revocation of my Certification. I represent and warrant that I am authorized to sign this application and the information contained herein is true accurate and complete.

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