AGM Proxy Form

Full name

Full address

Full name of appointee

Appointee’s full address

Such appointee being a member of that incorporated association as my proxy to vote for me on my behalf at the Annual /Special General Meeting of the Club to be held on - DATE OF MEETING - or at any adjournment of that meeting.

Date of meeting

Proxy authorization

My proxy is to authorized to vote IN FAVOUR OF the following resolution

My proxy is to authorized to vote AGAINST the following resolution

resolution number or description to be inserted if desired – otherwise leave blank

Date

NOTE – A proxy may not be given to a person who is not a financial member of the Club.

This notice is to be delivered to the Secretary no later than 7 days before the

Meeting in respect of which the Proxy is appointed.

NCRS AUSTRALIA INC.
(incorporated under the Association Corporation Act 1984)

SPONSORS

NCRS AUSTRALIA INC.(incorporated under the Association Corporation Act 1984)

SPONSORS

NCRS AUSTRALIA INC.
(incorporated under the Association Corporation Act 1984)