ASSOCIATION CONVENED UNDER RULE 8

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 appeal to the general meeting of the Association convened under rule 8, to be held on-

……………………………

(date of meeting)

and at any adjournment of that meeting.

I authorise my proxy to vote on my behalf at their discretion in respect of the following resolution (insert details of resolution passed under rule 8.

………………………………..

Signed

Date

Version  - Monday, 11 May 2009