2009-2010 AGM/Proxy form
Form of Appointment of Proxy.
being a member of Wikimedia Australia Inc.
appoint (name of proxy holder)/Chair*
being a member of that Incorporated Association, as my proxy to vote 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] or act on their own discretion. (delete as appropriate.)
- Delete if not applicable