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Appoint a proxy

Proxy form for voting if you cannot attend the AGM

If you are attending the AGM, you can vote in person on the motions proposed. If you are not, you may wish to use this form to appoint a proxy to vote at the meeting on your behalf.

Please note that:

  • The person you can appoint as a proxy votes at their own discretion.
  • Votes cast by proxy are only counted if a motion cannot be passed by a show of hands of members present at the AGM.

Proxy forms must be submitted by 10.15am on Monday 16 October 2017. Proxy forms received after this time will not be valid.

Your title:(*)
Please choose your title

Your first name:(*)
Please enter your first name

Your last name:(*)
Please enter your last name

You can find your Carers UK membership number towards the top of your email about the elections.

Your membership number:
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Your email:(*)
Please enter your email address

Your status:(*)

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Who would you like to appoint as your proxy:(*)

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Please enter the details of the Carers UK member you would like to appoint as a proxy below.

Their first name:
Please enter your first name

Their last name:
Please enter your last name

Their Carers UK membership number:
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Their email:
Please enter your email address

Their phone number:
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