Appendix 2 - Form of appointment of proxy


I,
of
a member of the Belnorth Football Club Incorporated
appoint
of
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 on
and at any adjournment of that meeting.
*My proxy is authorised to vote in favour of/against the resolution (insert details below)
Sign Here
Note: A proxy vote may not be given to a person who is not a member of the association

Contact details of Member appointing the proxy