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Appointment of Proxy Form

For appointing my proxy to vote on my behalf at the General Meeting of the WA Retirement Villages Residents Association Inc.

Name of member

(Insert name)

Being a member of

(insert name of village)

Appoint WARVRA member to vote on my behalf

(insert name of Proxy Holder)

At General Meeting of the WA Retirement Villages Residents Association Inc.

At my proxy’s discretion, I authorise my proxy to vote on my behalf in respect to all matters raised

vote on the following matters only:

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