Board of Directors | Proxy Request Form
Name of Person in Need of Proxy
*
First Name
Last Name
Email of Person in Need of Proxy
*
example@example.com
Meeting Month
Please Select
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Meeting Year
Please Select
2021
2022
2023
2024
Name of Requested Proxy
*
First Name
Last Name
Email of Requested Proxy
*
example@example.com
Requested Proxy's Answer
*
Agreed
Denied
Unanswered
For Reference Only
Email of Person in Charge of Proxies I
example@example.com
Email of Person in Charge of Proxies II
example@example.com
Submit
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