APPENDIX 1
(Rule 38 (2))

Form for Appointment of Proxy


I,  ____________________________________
(full name of applicant)

of ____________________________________
(address)

being a Member of Blind Cricket NSW Inc.

hereby appoint ____________________________________ (full name of proxy)

of ____________________________________ (address)

being a Member of Blind Cricket NSW Inc., as my proxy to vote for me or on my behalf at a General Meeting, Annual General Meeting or Special General Meeting, to be held on Saturday 20th August 2011 and at any adjournment of that Meeting.

My proxy is authorised to vote;

a)	as he/she see fit on all matters raised, or
b)	in favour of / against (delete as appropriate) the Resolution,

“Insert Resolution details”







____________________________________
Signature of Member appointing proxy	


Date ___________

PLEASE NOTE:	A proxy vote must not be given to a person who is not a Member of the Organization.