The Internet Society of Australia
Attn: Mr Craig Ng
Maddocks
Level 21 Angel Place
123 Pitt Street
Sydney NSW 2000
FAX: (02) 9221 0872
_____________________________________________________________________
INTERNET SOCIETY OF AUSTRALIA, A CHAPTER OF THE INTERNET SOCIETY
ABN 36 076 406 801
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 8:00am on Wednesday 6 December 2006 and at any
adjournment of that meeting. 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 mark 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 the annual accounts and reports of the Society are approved:
Resolution: [ ] in favour [ ] against [ ] abstain
(B) That the Minutes of the AGM held on 7 December 2005 are approved:
Resolution: [ ] in favour [ ] against [ ] abstain
Signature:_________________________________ Date:____________________
Full name (please print):______________________________________________
ISOC-AU Member #________________________ From your 2006/07 receipt/card
Note: 1. The Proxy Form must be received at the registered office of the
Society not less than 24 hours before the meeting, i.e. by
8:00am ADST on 5 December 2006.
2. Do NOT email this form, it must be printed out and sent by
post or fax to the registered office of the Society:
The Internet Society of Australia
Attn: Mr Craig Ng
Maddocks
Level 21 Angel Place
123 Pitt Street
Sydney NSW 2000
FAX: (02) 9221 0872