Queensie AGM Proxy Nomination Form – Queenscliff Surf Life Saving Club

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QSLSC AGM Proxy Vote Authorisation

Please accept my apology (Financial member Name)*
First Last
For non-attendance at the Queenscliff Surf Life Saving Club Annual General Meeting at 10.30am on Sunday, 6th August 2023. Please ensure you nominate a Financial Member of Queenscliff SLSC. I nominate as a Financial Member of Queenscliff Surf Life Saving Club as my Proxy to vote on my behalf:*
I agree
For non-attendance at the Queenscliff Surf Life Saving Club Annual General Meeting at 10.30am on Sunday, 6th August 2023.

Please ensure you nominate a Financial Member of Queenscliff SLSC.

I nominate as a Financial Member of Queenscliff Surf Life Saving Club as my Proxy to vote on my behalf:
Name of Proxy*
First Last
Date
DD slash MM slash YYYY