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AGM Proxy Voting Form
Please fill out this form only if you have been a member for at least 12 months.
Deadline for submission is noted in the AGM Notice to Members.
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Your Name
I,
Your answer
Your Address
of,
Your answer
Appointee
being a member of the association for at least 12 months, appoint
Your answer
Appointee's address (if unknown please answer "unknown")
of,
Your answer
Date of form signed
as my proxy to vote for me on my behalf at the general meeting of the association, to be held on the 5th of December, 2021 and at any adjournment of the meeting. Signed this day,
MM
/
DD
/
YYYY
Election of office bearers
Nomination for President
Your answer
Election of office bearers
Nomination for Treasurer
Your answer
Election of office bearers
Nomination for Secretary
Your answer
Election of office bearers
Nomination for Instructor representative (must be Shidoin or above teaching level)
Your answer
Election of office bearers
Nomination for General Members (includes positions of Tournament Coordinator, Special Event Coordinator, First Aid Officer)
Self-nomination (expected to attend all Committee meetings)
No self-nomination
Clear selection
If self-nominated for a general member position, please add your email address here for correspondence
Your answer
By clicking submit below, you are digitally signing your permission for the nominated proxy to vote on your behalf.
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