Mitchell River Watershed Management Group: Online Proxy Form

Proxy for the 21 Oct 2016 Annual General Meeting at Mareeba

Use this Proxy form if you are unable to attend the meeting.

Give my proxy to the Chair (or Returning Officer)

Give my proxy to the person named below

(enter the name of your proxy, if not the Chair)

Allow my Proxy to vote on all matters brought for decision at the meeting.

Only allow my Proxy to vote on the listed Resolutions.

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone/Mobile

Listed resolution:
(no resolutions listed)