Mercedes-Benz Club of the ACT Inc.PO Box 1093 Woden ACT 2606

Nomination for Committee PositionsI, ....................................................................... accept nomination for the position(s) of ........................................................... on the Committee of the Mercedes-Benzes Club of the ACT Inc.This nomination is supported by –(name)........................................................... (signature)..........................(name)........................................................... (signature)..........................Nominees and their supporters named above must all be financial members of the Mercedes-Benz Club of the ACT as at the Annual General Meeting for which this nomination applies.Nominee’s signature................................................... Date......................The completed form should be sent to:The SecretaryMercedes-Benz Club of the ACT PO Box 1093WODEN ACT 2606Date Received ………………….

Form of Appointment of ProxyI, …………………………………………………………..……………………………………………(full name)of ………………………………………………………….…………………………………………….(address) being a member of the Mercedes-Benz Club of the ACT Inc. hereby appoint …………………………………………………………………………………………….(full name of proxy)of ………………………………………………………………………………………………...…….(address)being a member of the Club, as my proxy to vote on my behalf at the Annual General Meeting of the Club on 26 July 2014 and at any adjournment of that meeting.My proxy is authorised to vote in favour of ……………………………………….(full name)For the Committee position of ……………………………………………………….And in favour of …………………………………………………………………….(full name)For the committee position of ………………………………………………………..

Signature of member appointing proxy …………………………………. Date ………….