Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

Your information (WUSA member voting by proxy):

Please enter your 8 digit WatCard number.
Proxy Holder Accountability: * (required)
Please select one of the following: * (required)
Note: Proxies may only be used in the election of directors if you provide your proxy holder with the names of your desired candidates, in ranked order