MWR Meeting Proxy Form

Midwest Region of the NMRA Proxy Form

Complete this form to authorize a proxy to attend and vote on behalf of a member at a meeting. Only voting members require a proxy. This proxy will automatically be sent to the MWR Secretary - no further action is required after you submit this form.
Select the Principal Board Member
Choose the voting member the proxy will represent from the list.
Other Board Member
Fill in the name of a BoD member not appearing on the list above.
Other BoD Member Email Address

Confirmation EmailPlease confirm the member's email address
Proxy Full Name

First NameLast Name
Proxy Email Address

Confirmation EmailPlease confirm the proxy's email address
Meeting Date

MonthDayYear
Select or enter the meeting date
Meeting Type
Proxy Powers
Specified matters to be voted on.
Date completing this proxy.

MonthDayYear
Please verify that you are human
Should be Empty:

Midwest Region of the NMRA Proxy Form