PROXY FORM - Nationals 2023
We understand not all of our Chapters will be able to attend the 2023 National Conference. If this is the case, please ensure your Chapter emails or submits a PROXY FORM to your Regional Executive Board to ensure your Chapter voice is represented during our General Business Meetings.
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Date *
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Chapter Name *
Region *
I understand that the votes represented by this Proxy will be voted as directed or, if no direction is indicated, will be voted by the personal discretion of the designee. *
State Your Name

I, ________________________, ... *
State Your Proxy's Name

do hearby designate ______________________ to act as Proxy for the purpose of voting on all matters of issue at the 2023 Annual National Conference General Business Meeting to be held during the week of March 12th-19th *
State Your Number of Votes

Our Chapter has _____________ votes. (One vote for the first 5 members, plus one vote for each 25 members in good standing, 2023 and Life members only).
 *
By typing my name below, I agree and understand that this is the equivalent of my handwritten signature.  *
Title *
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