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2010 MIDWINTER DINNER RESPONSE FORM


Please reply by a week prior to Dinner

Name: ...........................................................................................................................

Address: .....................................................................................................................

.............................................................................................................................

Phone: H:.............................................. W:.....................................................

I will/will not be attending the AGM and Expeditioners' Midwinter Dinner

I forward $         Payment.        YES/NO

I will bring and pay for ..................... interested guests.       YES/NO
(Please print name of guest/guests)

..........................................................................................................................

..........................................................................................................................

..........................................................................................................................
 

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AGM BUSINESS, NOMINATION OF OFFICE BEARERS.

I nominate the person named for the position/s listed.

President
........................................................................................................................

Vice President
...............................................................................................................

Secretary
.......................................................................................................................

Treasurer
.......................................................................................................................

Committee Member
......................................................................................................

Committee Member
.....................................................................................................

Committee Member
......................................................................................................

Committee Member
......................................................................................................

Committee Member
......................................................................................................

Regional Representative
..............................................................................................

Regional Representative
...............................................................................................

Regional Representative
...............................................................................................

Regional Representative
...............................................................................................

Signature
...................................


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Send responses to
ANARE Club,
PO Box 323,
Fortitude Valley, Qld 4006

All cheques payable to - ANARE Club Queensland.
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