Meeting: 2011 AGM/Proxy form

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Form of Appointment of Proxy.

I,

(name)

of

(address)

being a member of Wikimedia Australia Inc.


appoint

(name or role of proxy holder)[1]


also being a member of that Incorporated Association, as my proxy to vote on my behalf at the 2011 Annual General Meeting of the Association to be held on Sunday 9 October 2011 and at any adjournment of that meeting.


Either:

My proxy is authorised to act on their own discretion.

Or:

My proxy is authorised to vote in favour/against[2] the following resolution: [insert details of resolution]


Signed


Date


  1. You may nominate a member by name or by role (for example, the chair or the secretary etc).
  2. Delete whichever is not applicable.

Note: A proxy vote may only be given to a person who, at the time of the meeting, is a current financial member of Wikimedia Australia.

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