100 Who Care Alliance - A resource voluntarily compiled by ...
Proxy Ballot – [insert chapter name here]I, the undersigned, hereby acknowledge that I am a member in good standing with [insert chapter name here] and that the person designated below has the authority to vote for me at the [insert chapter name here] meeting, being held on ________________. I acknowledge that my designee may submit my vote as they wish. My designee and I both understand that this dated and signed ballot must be presented at the registration table WITH a check for $100 prior to the start of the meeting. _____________________________________________________________ Name of Designee (please print): ______________________________________________________________ Name of Absentee Voter (please print): ______________________________________________________________ Signature of Absentee Voter: _______________________________________________________________ Date: ................
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