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Proxy Vote Application

 
Please complete this online form, upon completion you will be presented with a pdf of this form to print off, sign and return to the address below:
 
 
Your Date of Birth: 
 
Contact Telephone Numbers:
 
Which types of election do you wish to have a Proxy Vote for?
Which types of election do you wish to have a Proxy Vote for?
 

If you wish to have a proxy vote for a limited period or specific election, please download the following form, complete, sign and return to the address provided on the form:

 

Your Proxy Details

 
 

 
Please indicate if any of the following conditions apply, as you may not be required to provide a signature if you:



 
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Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422