Proxy Form for 6.25.2023 Congregational Meeting

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Please submit by June 22, 2023.

If you’ve already chosen a proxy within the last 11 months, please notify Jen Dean that you’d like to use the same person and you won’t have to fill out a new form.

Date you are filling out this form: *

YYYY

Name: *

Email and/or phone: *

Person you are appointing as your proxy (Note: A proxy must be 1:1. If two people need proxies, you must appoint two separate people): *

I appoint the above person as my proxy to attend the congregational business meeting of Urban Grace Church on 6.25.2023 with full power to vote and act for me in the same manner and extent that I would be entitled should I be personally present at the meeting. (Typing your name below acts as your signature on this form). *

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