Attention: Katherine Legge
C/- Deacons Graham & James
Level 24, 385 Bourke Street, Melbourne VIC 3000
FAX: 03 9230 0505
_____________________________________________________________________
INTERNET SOCIETY OF AUSTRALIA, A CHAPTER OF THE INTERNET SOCIETY
ACN 076 406 801
PROXY FORM
I, the undersigned, being a member of the above Society hereby appoint:
of
[full name of proxy] [address of proxy]
as my proxy to vote for me on my behalf at the Annual General Meeting
of the Society to be held at 6:00pm on 25 November 1999. If proxy name
is blank or if the proxy does not attend, then the chairperson of the
meeting is appointed as my proxy.
The proxy must vote as specified by me with a tick or cross in the
appropriate box. If any of the following resolutions are not specified
then voting on that resolution is at the discretion of the proxy.
(A) That Chris Booker, Chartered Accountant, is appointed Auditor of the
Society:
Resolution: [ ] in favour [ ] against [ ] abstain
(B) That the Minutes of the AGM and GM held on 17 December 1998 are approved:
Resolution: [ ] in favour [ ] against [ ] abstain
(C) The resolutions below relate to changes to the Articles of Association
as detailed in the Notice of Meeting and the Explanatory Memorandum.
Resolution (1): [ ] in favour [ ] against [ ] abstain
Resolution (2): [ ] in favour [ ] against [ ] abstain
Resolution (3): [ ] in favour [ ] against [ ] abstain
Resolution (4): [ ] in favour [ ] against [ ] abstain
Resolution (5): [ ] in favour [ ] against [ ] abstain
Resolution (6): [ ] in favour [ ] against [ ] abstain
Resolution (7): [ ] in favour [ ] against [ ] abstain
Resolution (8): [ ] in favour [ ] against [ ] abstain
Resolution (9): [ ] in favour [ ] against [ ] abstain
Resolution (10): [ ] in favour [ ] against [ ] abstain
Signature:_________________________________ Date:____________________
Full name (please print):______________________________________________
Note: 1. The Proxy Form must be received at the registered office of
the Society not less than 24 hours before the meeting.
2. Do NOT email this form, it must be printed out and sent by
post or fax to the registered office of the Society:
Attention: Katherine Legge
C/- Deacons Graham & James
Level 24, 385 Bourke Street, Melbourne VIC 3000
FAX: 03 9230 0505