CACD Annual Meeting Proxy Form

CACD Annual Meeting Proxy Form
Your Name (Supervisor of CD being represented by proxy)*

First NameLast Name
Your Email*
example@example.com
District Being Represented*
District Carrying Proxy*
Supervisor Carrying Your Proxy*

First NameLast Name
Email of Supervisor Carrying Your Proxy*
example@example.com
Please be sure to confirm with the carrying district that they are willing to represent you by proxy. They will be asked to counter-sign the proxy form upon arrival and check-in at the Annual Meeting.
Signature of Supervisor being Represented*

Clear
Date*

MonthDayYear
Date
Should be Empty: