AFLMA Inc
AFL MEMBERS ASSOCIATION
PHONE 9554 7796 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 2006 AGM to be held on Monday 13 November and at any adjournment of that meeting.
My proxy is authorized to vote in favour of / against any election or resolution during the AGM.
Signed: …………………………………..
Print Name: ……………………………………..
Date: …………………….