AFLMA INC.

 

AFL MEMBERS ASSOCIATION INC.

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

PHONE:- (03) 9489 9568 EMAIL:- steercom@aflma.com

 

PROXY FORM

 

I, (Print Name) ………………………………………………..

 Of (Address) ………………………………………………………………………………

 AFL Membership No. ……………………

 Appoint: (Name of proxy holder) ……………………………………….

 AFL Membership No. ……………………

  

Being a member of the above Incorporated Association, as my proxy to vote for me on my behalf at the 2007 AGM to be held on Wednesday 21 November and at any adjournment of that meeting. (Proxy forms to be received by email or posted to the above address by Monday 19 November 2007)

 My proxy is authorized to vote in favour of / against any election or resolution during the AGM.

  Signed: …………………………………..

 

Print Name: ……………………………………..

 

Date: …………………….