HMA Meeting Proxy

The following form allows you to appoint a proxy for an HMA meeting that you are unable to attend.

Your first name and last name

Enter your name and surname here

Your email address

Appoints the following full member of HMA as proxy:

First name and last name

Enter the name of the person who you are giving your proxy to here

Select which meetings you are appointing the proxy for

AGM

Special General Meeting

Select the date the meeting is taking place (if known)

Sign your name here (optional)

Use your mouse if using a computer to sign your name

Ground Floor Suite 600,
Australian Hearing Hub,
Macquarie University
NSW 2109