Appointment of Proxy Form. - Western Pigeon Federation of Victoria

Appointment of Proxy Form. [Western Pigeon Federation of Victoria]

Appointment of Proxy From - voting rights.

IMPORTANT. It is mandatroy to complete all fields. Please ensure you have the Name, Address, phone number and email address of the appointed nominee. Please entre all your details and those of the person you are electing to act as your proxy.

I,(Required)

First Last

OF,(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Being a current financial member of the Western Pigeon Federation of Victoria Inc. hereby appoint.(Required)

First Last

OF,(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

to vote and speak on my behalf in accordance with my direction/s at the Western Pigeon Federation of Victoria Inc. meeting and at any adjournment or postponement of that meeting in accordance with Rule 13.2, sub-rules (1), (2), (3), (4), (5), (6), (7) and Rule 14.1, subrule (d) of the Constitution of the Western Pigeon Federation of Victoria Incorporated [WPF] to be held at.(Required)

27B Carrington Drive ALBION VIC 3020

Alternate Location to be confirmed.

Meeting Type(Required)

Annual General Meeting

Special General Meeting

Date(Required)

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