2025 AGM Proxy Form

2025 AGM Proxy Form
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Full name of member you apoint to be your proxy holder*

First NameLast Name
Being a financial full member (with voting rights) of Boronia Soccer Club Incorporated

I hereby appoint {fullName} , being a financial full member (with voting rights), as my proxy and to vote for me on my behalf at the Club’s Annual General Meeting* and General Meeting* to be held on Wednesday 1st October 2025
Signature*

Clear
Should be Empty: