Questions marked with an * are required
 
 
* I / We (insert name of member)
   
 
 
* of (insert your address)
   
 
 
being a member of the Warren Bonython Heysen Trail Foundation, hereby appoint: (insert name of proxy or leave blank)
   
 
 
of (insert address of proxy)
   
 
 
or failing him / her or if no person is appointed, the Chairman of the meeting, as my / our proxy to vote for me / us and on my / our behalf at the annual general meeting of the company to be held at 5.00 PM on Wednesday 16th October 2019 in the Uniting Communities Training Room 1, Level 3, 43 Franklin Street, Adelaide.