o I will attend the AGM in Sydney on Monday 30 November  2015 at 2:00pm at Kingsgate, Level 8, 14 Martin Place, Sydney, NSW 2000,

o I cannot attend the AGM, please record my apologies.

Name: ________________________________________________________

Organisation: ___________________________________________________

Email: _________________________________________________________

I would like phone conference into to the AGM (phone in details will then be emailed to you if you select this option)

Name: ________________________________________________________

Organisation: ___________________________________________________

Email: ________________________________________________________

I, ________________________, being the official representative of

_______________________, a financial member of the Australia-Thailand Business Council for the 2015/2016 year, hereby appoint:

_______________________ or failing them,  the Chairman of the meeting, as the person who has my voting proxy at the Annual General Meeting to be held on the 30^h day of November 2014, or at any adjournment of that meeting.

Signed: ____________________             Date: ____________________

Please return completed form as soon as possible, latest by 12pm on Thursday 26 November 2015

Email: admin@aust-thai.org.au (Preferred)

If email is not possible, please return by post to National Secretariat Office.