ISV AGM 2018 Proxy Form - Senior Members
Name *
Your answer
Are you a member of ISV Inc.?
ISV Membership Number *
Click on the link to access your ISV member number : http://iceskatingvictoria.org.au/membership/
Your answer
Are you acting as a proxy for another member holding full membership? *
You are permitted to hold up to 2 proxies for the AGM. Details of each individual proxy must be completed on this form.
1a. Name of person (principal) who has assigned you as proxy plus details
Your answer
1b. ISV membership Number of person (principal) who has assigned you as proxy plus details
Click on the link to access your ISV member number : http://iceskatingvictoria.org.au/membership/
Your answer
1c. Email address of person (principal) who has assigned you as proxy plus details
Your answer
2a. Name of person (principal) who has assigned you as proxy plus details
Name, ISV Membership No, and Email address
Your answer
2b. ISV membership number of person (principal) who has assigned you as proxy plus details
Click on the link to access your ISV member number : http://iceskatingvictoria.org.au/membership/
Your answer
2c. Email address of person (principal) who has assigned you as proxy plus details
Your answer
I declare that I am lawfully acting as a proxy for the above named member(s) with their full knowledge and consent. *
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