PROXY FORM 2017

You will need to complete ALL fields

Please note the closing date for proxies is 5:30pm EDST Friday 17 November 2017.

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* Company details:

Company name

ATEC membership number

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* I/we, <enter individual(s) name(s)>

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* being financial members of the Australian Tourism Export Council Limited hereby appoint the following:

ATEC Chairman

Other (please indicate)

Name and company of proxy

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* As my/our proxy to vote for me/us on my/our behalf at the general meeting of the Australian Tourism Export Council Limited to be held on the 20th day of November, 2017 and at any adjournment thereof.

This electronic form authorises the proxy to vote on my/our behalf on all resolutions.

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* Declaration:

I hereby declare that the signatures uploaded to endorse this proxy nomination are genuine digital signatures of the individuals stated.

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* Signed by the said: please upload an electronic copy of YOUR hand-written signature.

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

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* Signed in the presence of: please upload an electronic copy of the hand-written signature of a WITNESS:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* Please enter the name and company of your WITNESS.

Name

Company