Specifications

www.ausom.net.au AUSOM News April 2009 v 13
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Ross House, 247 Flinders Lane Melbourne
Phone/Fax [phone] all hours.
Email: [e-mail] or phone enquiries to 9885 7060
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............................................Rule 23(a) I.� of…………………………………………………………..
� Name (Please Print)� Address (Please Print)
................................................. ............................. ..........................Signature� Date� Membership No.�
 �…………………………………..of ………………………………………………………….
� Name (Please Print)� Address (Please Print)
................................................. ............................. ..........................Signature� Date� Membership No.�
being financial members of AUSOM hereby 
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..............................................................................................
...................................� Membership No.�
being a financial member of the Association, for the position of:-
Office Bearers:� • President� • Vice President� • Treasurer� • Secretary
Ordinary Members:
� • Member.
 A Member may only nominate for one position prior to the AGM. Please circle as applicable.
.............................................................. ..........................................................................................I, � of�
� Name (Please Print)� Address (Please Print)
................................................. ............................ ...........................Signature� Date � Membership No�
consent to nomination for the position encircled.
The candidate may include a short résumé to be published in the May 2009 AUSOM News.
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When completed and signed, this form is to be lodged with the Secretary, in person, by
email or to AUSOM at the above address not later than  on Friday 24th April 2009. If
the résumé is to be included in the May AUSOM News, please lodge the form with the
Secretary on or before Saturday 4th April 2008.
Susan Jensen
Secretary