505 Ballot Return

First Name:________________

Surname / Family Name: ________________

Address: ____________________________

            ____________________________

            ____________________________

Country: ___________________

Telephone No: ____________________

E mail: __________________________

I confirm that I am a current member of the ______________Insert National Association 505 Class Yacht Racing
Association. I am an owner or part owner of 505 no ______________Insert boat number .
I am in favour of the proposal detailed on the attached Notice of Ballot   
 

OR               indicate your vote by putting X in the box of your choice

I am against the proposal detailed on the attached Notice of Ballot  
 


Signature: ____________________________


Date:
This ballot form most be returned to your National Secretary, or can be posted or faxed directly to the International Secretary at 40 Arden Close, Bradley Stoke, Bristol BS32 8AX, UK, - Fax: +44 117 969 8772, before 28 February 2000.

Note: Ballot returns by e mail cannot be accepted

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