| Annual General Meeting WASA Nomination Form – Committee Member and Office Holder I wish to nominate for the WASA Committee as an Office Holder as follows: Personal Membership Details: Full Name: WASA Membership Number (On Membership Card): Address: Contact Number: Email Address: What would you like to do? The Office or Role being Proposed. Please be specific in this: (EXAMPLES: President, Vice President, Secretary, Treasurer, Membership Coordinator, Media Coordinator, Exhibition Coordinator, Newsletter Coordinator and Editor, General Committee Member or Project Officer with a focus on a single aspect and/or supporting one of the key roles such as Wilgie Plein Air, Search for a Permanent Home and/or other Strategic Projects) Seconder Personal Membership Details: Full Name: WASA Membership Number (On Membership Card): Address: Contact Number: Email Address: |
WASA FORM FOR APPOINTMENT OF A SINGLE PROXY I (name in full) …………………………………………………………………………………………………………………………………… Of (address).……………………………………………………………………………………………………………………………………… WASA membership number ……………………………………………………………………………………………………………… being a full paid member of The West Australian Society of Arts (Incorporated) hereby appoint (full name) ………………………………………………………………………………………………………………… of (address)…………………………………………………………………………………………………………………………………………. as my proxy to vote on my behalf at a meeting of the Society to be held on (insert date) …………………. and at any adjournment of that meeting. My proxy is authorised to vote as he or she sees fit. Signed………………………………………………………………….. Date…………………………………………………………………….. Lodgement Responsibility for the correct completion and submission of this form rests entirely with the Member wishing to appoint a proxy voter. The members listed must be financial on the date of the General Meeting. They must complete this document, scan and email to the Secretary or complete this document and mail to the Secretary. A hard copy must be received by the Secretary prior to the General Meeting commencing. |