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rules - Indigenous Flora and Fauna Association

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I,<br />

(name)<br />

APPENDIX 3<br />

FORM OF APPOINTMENT OF PROXY<br />

of<br />

(address)<br />

being a member of the <strong>Indigenous</strong> <strong>Flora</strong> <strong>and</strong> <strong>Fauna</strong> <strong>Association</strong><br />

appoint<br />

(name of proxy holder)<br />

of<br />

(address of proxy holder)<br />

being a member of that Incorporated <strong>Association</strong>, as my proxy to vote on my behalf at the *annual/*special<br />

general meeting of the <strong>Association</strong> to be held on—<br />

(date of meeting)<br />

<strong>and</strong> at any adjournment of that meeting.<br />

My proxy is authorised to vote *in favour of/*against the following resolution: [insert details of resolution]<br />

Signed<br />

Date<br />

*Delete if not applicable<br />

__________________<br />

21

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