AGM Sample Proxy Form
I __________________________________________ |
I assign _____________________________________, to vote my proxy at the AGM/SGM (cross out one) of InternetNZ to be held on ________________________ (date). |
My proxy is valid for the following issues: (cross out the two that do not apply) All Elections only Partial (detail here): ____________________________________ ____________________________________ ____________________________________ |
My proxy is assigned FULL/PARTIAL/NO (cross out two) discretion in the casting of my vote/s. |
Signed:_______________________________ Member |
Date: _______________________________ |
NB All details must be filled in for this to be acceptable as an Instrument of Proxy |
All Proxies must be received at the Society's Office 48 hours before the scheduled start of the AGM/SGM either by Posting to: InternetNZ or by Fax to: +64 4-495-2115 you will need to send your Proxy Holder your online voting login and password as well. We suggest that you send this to them directly, but you can include it on this form if you wish and the Office will pass them on to them. Online login:_______________________________ Online password:___________________________ |
© 2004 The Internet Society of New Zealand
Last updated Thursday, 17-Mar-2005 17:01:22 NZDT