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 2008 AGM to be held on Thursday 13 November and at any adjournment of that meeting. (Proxy forms to be received by email or posted to the above address by Monday 10 November 2008)

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

  

Signed: …………………………………..

 

Print Name: ……………………………………..

 

Date: …………………….