Proxy Form · Dixon Kestles

Owner & Lot Details

Owners Corporation plan number *

Name(s) of lot owner(s) *

Owner address *

Lot number(s) *

Name of proxy *

Proxy address *

Choose how the proxy may act on your behalf.

Authority type *

Attend, speak and vote in person on my/our behalf until a date

Attend, speak and vote at a specific general meeting

Vote on my/our behalf at a ballot

Vote as directed by the instructions below

Authorisation valid until *

Represent me/us on the committee of the owners corporation

Email address *

Printed name *

Signature *

Sign in the box above.

I confirm I have the right to sign this proxy form on behalf of all owners of this lot.