AFLMA Inc

AFL MEMBERS ASSOCIATION

PO BOX 4040 PATTERSON VIC 3204

PHONE 9554 7796 EMAIL : steercom@aflma.com

AFLMA INC.

AFL MEMBERS ASSOCIATION

AFLMA I NC.

P.O. BOX 4040, PATTERSON, VIC., 3204

PHONE / FAX: 955 777 96 EMAIL: jim_brighthope@bigpond.com

NOMINATION FORM 2006

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 TO THE ABOVE ADDRESS TO BE

RECEIVED NO LATER THAN FRIDAY 10 NOVEMBER 2006