ANZEA Special General Meeting Proxy Vote Form

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1. Please enter your full name (Required.)

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2. Please confirm you are a current member of ANZEA (Required.)

Yes

No

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3. Please enter your email address (Required.)

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4. Please name the proxy you are appointing
If you do not include a member's name/leave this blank, by default this will the Convenor/Chair.

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5. Do you authorise the proxy to vote on your behalf at the Special General Meeting being held on 27 March 2026? (Required.)

Yes, I authorise

No, I do not authorise