CONSTITUTIONAL CHANGES & LIFE MEMBERSHIP - REFER TO AGENDAMotion 1: Amendment to Constitution - Clause 7.2(a)Motion 2: Amendment to Constitution - Clause 7.2(b)Motion 3: Amendment to Constitution - Clause 30(a) and Deletion of 30(c)I, First Name * Last Name * , being a nominated delegate of Please Select No Club AffiliationBlaxland Football ClubBligh Park Football ClubBlue Mountains Football ClubColo Soccer Football ClubCranebrook United Football ClubEmu Plains Football ClubGlenmore Park Football ClubGlossodia Football ClubHazelbrook Football ClubHenry Lawson Football ClubJamisontown Football ClubJordan Springs Joeys Football ClubLowland Wanderers Soccer ClubMulgoa Valley Football ClubNepean Dragons FCNepean Football AssociationNepean Representative FCNepean Referees GroupPenrith R.S.L. Soccer ClubPenrith Football ClubPenrith Rovers Football ClubPitt Town Football ClubRichmond Ex-Servicemen's Soccer ClubSpringwood United Football ClubSt. Clair United Soccer ClubSt. Marys Band Club Rangers Football ClubSt. Marys Convent Soccer ClubSt. Marys Football ClubWarradale Football ClubWentworth Falls Football ClubWerrington Croatia Football ClubWilberforce United Soccer ClubWollemi Football Club * wish to cast the following votes the on the motions to be presented at the Nepean Football Association Special General meeting to be held on Date * :
I also authorise First Name * Last Name * of Please Select No Club AffiliationBlaxland Football ClubBligh Park Football ClubBlue Mountains Football ClubColo Soccer Football ClubCranebrook United Football ClubEmu Plains Football ClubGlenmore Park Football ClubGlossodia Football ClubHazelbrook Football ClubHenry Lawson Football ClubJamisontown Football ClubJordan Springs Joeys Football ClubLowland Wanderers Soccer ClubMulgoa Valley Football ClubNepean Dragons FCNepean Football AssociationNepean Representative FCNepean Referees GroupPenrith R.S.L. Soccer ClubPenrith Football ClubPenrith Rovers Football ClubPitt Town Football ClubRichmond Ex-Servicemen's Soccer ClubSpringwood United Football ClubSt. Clair United Soccer ClubSt. Marys Band Club Rangers Football ClubSt. Marys Convent Soccer ClubSt. Marys Football ClubWarradale Football ClubWentworth Falls Football ClubWerrington Croatia Football ClubWilberforce United Soccer ClubWollemi Football Club * to act as my proxy and to vote on my behalf in any general voting polls presented at the meeting which have not been previously advised in the agenda. Signature * Date * FOR USE IN ACCORDANCE WITH CONSTITUTIONAL CLAUSE 28 OF THE N.F.A. CONSTITUTION.