Appointment of Proxy Form - You Yangs MTB Inc

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If you can not attend the AGM you can assign your vote to another current financial member using this form
• Proxy nominations must use this form to submit details
• The person you are assigning your proxy to must be a current financial member of You Yangs Mtb Inc
• The person you are nominating to hold your proxy must be present at the AGM
• Proxy must be received by You Yangs MTB Inc by 9pm Friday 1st December

Email *

I, (type full name) *

of Address (type your address) *

am a current financial member of You Yangs MTB Inc (type your membership number) *

I appoint, (type full name person) to hold my proxy vote *

from Address (type the address of the proxy) *

My proxy is a current financial member of You Yangs MTB Inc (type your membership number) *

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