Club Badge

 

 

BRISBANE CATHOLIC BUSHWALKING CLUB

PO Box 31, Red Hill  Q  4059

(Incorporated under the Associations Incorporations Act, 1981)

APPOINTMENT OF PROXY

(This form must be in the hands of the Authorised Person prior to the commencement of the Meeting)

 

I,

     ____________________________________________________

(Full Name)

 

of

     ____________________________________________________

(Residential Address)

 

being a Financial Member of the Brisbane Catholic Bushwalking Club

(hereafter “The Club”)

 

hereby appoint

                           _________________________________________

(Full Name)

 

of

      ____________________________________________________

(Residential Address)

 

whose signature appears below, and is a Financial Member of The Club, my Proxy to vote for me on my behalf at the                                                            

                                                                        _____________________

                                                                                   (Type of Meeting)

 

meeting of The Club, to be held on                            day of   

                                                          ____________           _________   _____

                                                                                       (Day)                                      (Month)               (Year)

 

and at any adjournment thereof.

 

______________________________                                /        /       

                  (Signature of Appointor)                                                                             (Date)

 

I,                                                                             being a Financial Member

    ____________________________________

 

of The Club, hereby agree to act as a Proxy for the above named member.

 

     ____________________________________                   /         /    

                    (Signature of Appointee)                                                                                   (Date)

Back To "FORMS"

Hosted by www.Geocities.ws

1