banner-1200-3

Appointment of Proxy

Written by Richard Graveur

Appointment of Proxy

I, ………………………………………….. of …………………………………………………………………………….

being a financial member of the Triumph Sports Owners Association (Qld) Inc., appoint

…………………………………………………… of ……………………………………………………………………………

and failing that person, ………………………………………………of ……………………………………………

…………………………………………………….. as my proxy to vote for me on my behalf at the Annual

General Meeting of the TSOA(Q) Inc. to be held on the 10 February 2016

Signature ……………………………………………………………………

This form is to be used in favour/against* the resolution

*Strike out whichever is not applicable (unless otherwise instructed, the proxy may vote as they think fit)