Please enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Address *Type of membership if knownFull Playing MemberCasual Playing MemberSocial Playing MemberParent Social MemberLife Member or Vice PresidentEmail *Name of Proxy *FirstLastProxy Email *Checkboxes *I confirm I give the above named my proxy vote for the Leighton Buzzard RFC 2020 Annual General MeetingSubmit
