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 ____________
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