Proxy Vote Form

Biggar Rugby Football Club

Hartree Mill Sports Ground, Biggar, Lanarkshire, ML12 6JJ

Clubhouse Telephone: 01899 221 219 Charity No. SC 047700

Advancing community health, wellbeing & education through participation in sport

PROXY VOTE FORM

I, the undersigned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………………(name)

of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ……………..(address)

being a Voting Member of Biggar Rugby Football Club,

hereby appoint. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ……………..(name of appointed person)

of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ……………..(address)

as my proxy to vote on my behalf at the meeting of the club to be held on

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………….. (date of meeting)

and at any adjournment of that meeting.