City & Hackney LPC A/SGM Vote on 2020-21 Annual Accounts & Constitution for Independent (Non-CCA (Multiple)) Pharmacy Contractors

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City & Hackney LPC A/SGM Vote on 2020-21 Annual Accounts & Constitution for Independent (Non-CCA (Multiple)) Pharmacy Contractors - vote closes at 5pm 22 September 2021

NB. This form is for Independent Pharmacy contractors only. CCA/AIMp (Chain) Pharmacies will vote centrally.

Email *

Pharmacy Name *

Pharmacy Post code *

Please state how many votes this represents, which is the total number of contracts held in City & Hackney LPC area by your organisation *

Please list the Pharmacy ODS Code(s) that your vote represents *

I declare that I am the contractor or someone authorised by the contractor to vote. Please provide your name and position at the contractor premises *

Accounts Vote: I wish to vote to *

ACCEPT the City & Hackney LPC 2020-21 annual accounts to be proposed at the AGM on 23 September 2021

REJECT the City & Hackney LPC 2020-21 annual accounts to be proposed at the AGM on 23 September 2021

ATTEND the AGM organised by City & Hackney LPC on 23 September 2021 to discuss the accounts and cast my vote in person

ABSTAIN

Constitution amendment Vote: I wish to vote to *

ACCEPT the proposed draft revised City & Hackney LPC 2021 Constitution annual to be proposed at the SGM on 23 September 2021

REJECT the proposed draft revised City & Hackney LPC 2021 Constitution annual to be proposed at the SGM on 23 September 2021

ATTEND the SGM organised by City & Hackney LPC on 23 September 2021 to discuss the accounts and cast my vote in person

ABSTAIN

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