Internet Society of Australia
A Chapter of the Internet Society
ABN 36 076 406 801

2010 Annual General Meeting
Director Nomination Form


Directors will be elected at the Annual General Meeting of the Society on 20
October 2010, in accordance with Article 47 of the Constitution.  If you would
like to nominate someone for the position of Director, please fill out a copy
of this form and post or fax so that it is received before 5pm AEST on 20
September 2010:

Attn: Mr Craig Ng
Maddocks
Level 7
140 William Street
MELBOURNE Vic 3000
FAX: (03) 9288 0666
craig.ng@maddocks.com.au

    I, ___________________________________________ of 

______________________________________________________________________

being a current financial member of the Society, nominate

       ___________________________________________ of    

______________________________________________________________________

for the position of Director of the Society.

Signed ______________________________ on ________________________


    I, ___________________________________________ of    

______________________________________________________________________

being a current financial member of the Society, second the above nomination.

Signed ______________________________ on ________________________


    I, ___________________________________________ of    

______________________________________________________________________

being the person nominated above and a current financial member of the Society, 
accept the above nomination.

Signed ______________________________ on ________________________