AFLMA INC.

AFL MEMBERS ASSOCIATION

P.O. Box 198 , Diamond Creek, Vic., 3089

PHONE: 9489 9568 EMAIL: steercom@aflma.com

NOMINATION FORM 2009

I, ………………………………………………….. AFL Membership No. ….…………

hereby nominate for the office of: President ………..

Vice-President ……….

Treasurer ………..

Secretary ………..

Committee (7) …………

Proposer: (print) ………………………………………... AFL Membership No. ……...

Signature …………………………………

Seconder: (Print) ……………………………………….. AFL Membership No. ……...

Signature …………………………………

Nominee: (Signature) …………………………………..

Date: ………………….

THIS FORM MUST BE MAILED or EMAILED TO THE ABOVE ADDRESS TO BE RECEIVED NO LATER THAN WEDNESDAY 12 NOVEMBER 2008