CONFIRMATION OF DELEGATE

Clubs SA - 2025 Annual General Meeting
CONFIRMATION OF DELEGATE

Clubs SA Members are entitled to one delegate to the AGM
Club Name
Delegate Name

First NameLast Name
Delegate Email
example@example.com
Phone Number
Please enter a valid phone number.
Authorised by:
Name

First NameLast Name
Signature

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Club Position
This authority superseded all previous authorities.

CONFIRMATION OF DELEGATE MUST BE RECEIVED NO LATER THAN

4:00pm MONDAY 13 OCTOBER 2025
Should be Empty:

Clubs SA - 2025 Annual General Meeting