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*

Board MeetingAnnual General MeetingExtraordinary Meeting
Proxy Powers*

Vote on all mattersVote on specified matters onlyAttend only - no voting rights
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