Appointment of Proxy for a Meeting 2025

First Name

Last Name

of,

Home Address

Home City

Home State

Postcode

being a member of New Vine Lakes Baptist Church, appoint

Full Name of person to act as a proxy

also being a member of New Vine Lakes Baptist Church, as my proxy to vote on my behalf at the Annual General Meeting of New Vine Lakes Baptist Church, to be held on Sunday 17 August 2025 and at any adjourning meeting.

Signed

Date