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Your Information
Please use this form if you are unable to attend the Geelong Jaguars AGM and wish to nominate a member who will be in attendance to vote on your behalf.
Name
*
First
Last
Your Phone Proxy
Phone
Email
*
Name of Proxy Voter
*
First
Last
Confirmation of Proxy
I confirm I am happy for the above Geelong Jaguars Member to vote on my behalf
All proxy nominations must be submitted by email no later than 14 days prior to the AGM. The sitting President may, at their discretion, accept late proxy nominations.
Date / Time
Date
Time
Submit
