Model Proxy Voting Form - Adelaiderocknroll

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Adelaide Rock'n'Roll Club Inc.
AGM Proxy Voting Form
I, _______________________________
(please print)
appoint _______________________________ , or in his/her absence,
_______________________________ , to be my proxy at the Annual
General Meeting to be convened on ______________________ and
to vote on my behalf on any motion/resolution raised.
Signed: ______________________________
Date: _________________
Membership Number:

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