Appendix 2 - Form of appointment of proxyI,First Name Last Name ofAddressStreet Address Suburb State Postcode a member of the Belnorth Football Club IncorporatedappointFirst Name Last Name ofAddressStreet Address Suburb State Postcode a member of the Belnorth Football Club Incorporated, as my proxy to vote for me on my behalf at the general meeting of the Belnorth Football Club Incorporated (annual general meeting or other general meeting, as the case may be) to be held onDate / Time of meeting and at any adjournment of that meeting.*My proxy is authorised to vote in favour of/against the resolution (insert details below)Resolution Signature of member Sign Here Note: A proxy vote may not be given to a person who is not a member of the associationContact details of Member appointing the proxyPhone Email Submit Form