2019 Proxy Voting Form

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2019 Proxy Voting Form - LAA AGM

Being a member of the Lipizzaner Association of Australasia, hereby nominate the following
person/people to the management Committee of the Association.

Full Name

Address

being a member of the Lipizzaner Association of Australasia, heby appoint (name)

Address

being a member of the Lipizzaner Association of Australasia, as my proxy to vote for me on my behalf at the Annual General Meeting of the Association to be held on 3rd November 2019 and any adjournment of that meeting.

My proxy is authorised to:

vote in favour of or against any matter they deem appropriate or

Vote in favour of/ against (delete as appropriate) the following resolution

Clear selection

proposed resolution

Signature (electronic signature accepted)

Date

YYYY

(Note: A proxy vote may not be given to a person who is not a member of the Association.)

Submit

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