Ratepayers Victoria Inc: A00040924M

NOMINATION FORM FOR ELECTION OF COMMITTEE OF MANAGEMENT

This form or a photocopy shall be used for the nomination of any candidate for the following positions:

President, Vice President, Secretary, Treasurer, (2) Ordinary member of Ratepayers Victoria

MEMBER NOMINATED...... …………………..…

(Please Print Name)

ADDRESS…………………………………………………………………………………...Postcode……………..………

SIGNATURE

(See Note 2) …………………………………………………………………………………Date….….../………../......

POSITION

(See Note1) ......

PROPOSER...... Phone......

(Please Print Name)

SIGNATURE OF

PROPOSER……………………………………………………..……………………..……..Date…….…../……..…/…......

Note 1: President, Vice President, Secretary, Treasurer, 2 Ordinary members on the Management Committee.

Note 2: It is mandatory that this nomination is endorsed with the signature of the candidate being nominated; their acceptance of the nomination will be checked by the Returning Officer.

Note 3: A separate form must be used for each candidate and for each position.

Note 4: All nomination forms must be forwarded to the Returning Officer on or before the due date.

Nomination forms for the Election of Committee should be forwarded in an envelope addressed to: The Returning Officer, Ratepayers Victoria Inc: 8/1248 North Road Oakleigh South 3167 by 20th November 2012

Or by Email to

Ratepayers Victoria Inc: A00040924M

NOMINATION FORM FOR ELECTION OF COMMITTEE OF MANAGEMENT

This form or a photocopy shall be used for the nomination of any candidate for the following positions:

President, Vice President, Secretary, Treasurer, (2) Ordinary member of Ratepayers Victoria

MEMBER NOMINATED...... …………………..….

(Please Print Name)

ADDRESS…………………………………………………………………………………...Postcode……………..………

SIGNATURE

(See Note 2) …………………………………………………………………………………Date…….…../………../......

POSITION

(See Note1)......

PROPOSER...... Phone......

(Please Print Name)

SIGNATURE OF

PROPOSER…...………………………………………………………………………….….Date…….…/…….……/…......

(Please Print Name)

Note 1: President, Vice President, Secretary, Treasurer, 2 Ordinary members on the Management Committee.

Note 2: It is mandatory that this nomination is endorsed with the signature of the candidate being nominated; their acceptance of the nomination will be checked by the Returning Officer.

Note 3: A separate form must be used for each candidate and for each position.

Note 4: All nomination forms must be forwarded to the Returning Officer on or before the due date.

Nomination forms for the Election of Committee should be forwarded in an envelope addressed to: The Returning Officer, Ratepayers Victoria Inc: PO Box 1057 HUNTINGDALE 3166 by 20th November 2012

Or by Email to