MBA Proxy Form 2 - Melton Basketball Association

MELTON BASKETBALL ASSOCIATION
Phone:
Fax:
PO Box:
E-mail:
Website:
(03) 9747 0980
(03) 9743 6325
1498 Melton West 3337
[email protected]
www.melton.basketball.net.au
ABN 97 438 053 623
FORM OF APPOINTMENT OF PROXY
I,
(name)
of
(address)
being a member of the Melton Basketball Association Inc.
(name of Incorporated Association)
appoint
(name of proxy holder)
of
(address of proxy holder)
being a financial member of this Incorporated Association, as my proxy to
vote on my behalf at the Annual General Meeting of the Association to be
held on _________________ and at any adjournment of that meeting.
(date of meeting)
Signed _________________________
Date ____________