FORM OF APPOINTMENT OF PROXY

To used at Annual or Special General Meeting where the business of the meeting appears on the Notice of Meeting. Rule 9 & 10

I, …………………………………………………………………………………..

(name)

of ……………………………………………………………………………………

(address)

being a member of …Moorabbin & District Radio Club Inc.

appoint ………………………………………………………………………………

(name of proxy holder)

of ……………………………………………………………………………………….

(address of proxy holder)

being a member of that Incorporated Association, as my proxy to vote for me on my behalf at the annual/special* general meeting of the Association to be held on

……………………………….

(date of meeting)

and at any adjournment of that meeting.

My proxy is authorised to vote in favour of/against* the following resolution (insert details of resolution).

…………………………….

…………………………….

…………………………….

Signed …………………………….

Date …………………………….

* Delete if not applicable                              Version - Thursday, 15 June 2006