Tamworth Basketball Association

Tamworth Basketball Association

AGENCY FORM: Proxy

Form number: GOVFORM003

Name:
Address:

STEP 1 APPOINT A PROXY

I being a financial member of Tamworth Basketball Association Incorporated and entitled to attend and vote hereby appoint

Appoint the Chairman of the Meeting (mark box)

OR if you are NOT appointing the Chairman of the Meetings as your proxy, please write the name of the person you are appointing as your proxy below

or failing the individual named, or if no individual is named, the Chairman of the Meetings is my proxy at the Annual General Meeting of TBA as per advertised date and timeand at any adjournment of that meeting, to act on my behalf and to vote in accordance with the following directions or if no directions have been given, as the proxy sees fit.

The Chairman of the Meeting will vote all undirected proxies in favour of all items of business. If you wish to appoint the Chairman of the Meeting as your proxy with a direction to vote against, or to abstain from voting on an item, you must provide a direction by marking the ‘Against’ or ‘Abstain’ box opposite that item.

STEP 2 VOTING DIRECTIONS

*If you mark Abstain box for a particular item, you are directing your proxy not to vote on your behalf on a show of hands or on a poll and your vote will not be counted in calculating the required majority if a poll is called.

Item / For / Against / Abstain
To re-elect current President
To elect nominated member for President
To re-elect current Vice President
To elect nominated member for Vice President
To re-elect current Secretary
To elect nominated member for Secretary
To re-elect current Treasurer
To elect nominated member for Treasurer
To re-elect current Director of Coaching
To elect nominated member for Director of Coaching
To re-elect current Director of Competitions
To elect nominated member for Director of Competitions
To re-elect current Director of Referees
To elect nominated member for Director of Referees
To re-elect current Director of Events
To elect nominated member for Director of Events

STEP 3 SIGNATURE OF MEMBER

* This form must be signed to enable your directions to be implemented.

Print Name: / Date:
Signature:
OFFICE
Date Received: / Time:
Received by:
/ Ref: GOVFORM – Voting by Proxy Updated: 22nd August 2014 Page 1 of 1
Tamworth Basketball Association
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