Line Dance Association
Of Australia |
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APPOINTMENT OF PROXY
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SECTION 1
I,......................................................................................................No...............................
(full name)
of:......................................................................................................................................
(address)
being a member of L.D.A.A. Line Dance Association of Australia Inc. hereby appoint
(q The Chair Person).............................................................................................................
(full name of proxy or tick Chairperson of the Meeting)
of ..................................................................................................................................................
(address of proxy if not Chairman)
being a member of L.D.A.A. Line Dance Association of Australia Inc., as my proxy for the Annual General Meeting of L.D.A.A. Line Dance Association of Australia Inc.
will be held at:.Tamworth Tennis Club, Treloar Park, Napier Street, Tamworth
on Saturday, 26nd January, 2002
commencing at:12.30pm
and at any adjournment of that meeting.
SECTION 2
Signed : ..................................................................................................................................................
(Signature of member appointing proxy)
Forward to:
The Committee
L.D.A.A. Line Dance Association of Australia
PO Box 1124
Baulkham Hills NSW 1755
Fax: 02 9981 2778
Date:
(Proxy notice to be must be received prior to the meeting)
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