ORA Nomination of Proxy Form

ORA Nomination of Proxy Form

AGM - 10:00am Saturday 14th March 2026
Members Name*

First NameLast Name
ORA Badge #:*
Applicants ORA Badge #
Email:*
your main email address
Mobile:*

0422111 111
As a financial member of the Ops Room Association of Australia Inc.

I herby appoint the selected person below as my proxy vote, for the AGM on Saturday @ 1000 on the 14th March 2026 in South Australia.
My Appointed Proxy:*
Applicants Signature:

Clear
If unable to sign above:
Please print your full name here
Date*

DayMonthYear
Date
Proxy forms must be submitted to the Secretary of the Ops Room Association of Australia Inc.

By the 4th March 2026.
Should be Empty: