• Both parties associated with this proxy form must be financial members of TCCV
• With the permission of both parties, complete ALL SECTIONS of the form.
• When complete, click the "Send Proxy" button.
• The Verification tick-boxes stand in place of the two signatures
  and indicate their collective agreement to be Nominee and Proxy respectively.
• Use the TAB key or MOUSE to jump from one field to the next.
• On submission, an automated reply will be send via return email to both parties

Nominee Member Details

Proxy Member Details