NIKLA-ANCLA 2024 Annual Gathering of Members - PROXY 
Please fill in this form and email it to info@NIKLA-ANCLA.com if you cannot attend the meeting and would like to assign someone else as proxy.
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Email *
Name of Member *
Email Address of Member *
Name of Proxy *
Email Address of Proxy *
Signature of Member *
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A copy of your responses will be emailed to the address you provided.
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