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I, ................................................................................................... of................................................................................................... being a Member of the Pigeon Racing Federation of WA (Inc) HEREBY APPOINT.................................................................... of................................................................................................... or failing them.............................................................................. of................................................................................................... or failing them then the chairman of the meeting as my proxy vote for me on my behalf at the (ordinary or special, as the case may be) General Meeting of the Federation to be held on the day of.....................................and at any adjournment thereof. SIGNED this .................................................day of.................... |