Appendix 1
(Rule 28(2))
FORM OF APPOINTMENT OF PROXY


I, .................................................................................................................................... (full name)

of .................................................................................................................................... (address)

being a member of the Multicultural Society Northern Rivers Inc.

hereby appoint ........................................................................................................................ (full name of proxy)

of .................................................................................................................................... (address)

being a member of that incorporated association, as my proxy to vote for me on my behalf at the general meeting of the association (annual general meeting or special general meeting, as the case may be) to be

held on the ..........day of ..............19.... and at any adjournment of that meeting.

* My proxy is authorised to vote in favour of/against (delete as appropriate) the resoloution (insert details).

.......................................................................................................................................

.......................................................................................................................................

.......................................................................................................................................

* To be inserted if desired.

....................................... (Signature of member appointing proxy)

....................................... (Date)

NOTE: A proxy vote may not be given to a person who is not a member of the association.