WWPNA General Proxy

Sometimes you can't be at a WWPNA meeting, but would still like to exercise your right to vote. Below is a general proxy that can be used for board, committee, and general membership membership meetings. While the sample proxy below is not required, we want to make the process as straightforward as possible, and thus enable you to participate more fully in the discussion.

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GENERAL PROXY

The undersigned Member of the West Washington Park Neighborhood Association hereby invests the below-designated Agent with all powers the undersigned Member would possess if personally present, to cast votes or act upon matters that come before the Meeting or any adjournment thereof, subject to any Limitations indicated below. Any earlier signed proxies for this Meeting are hereby revoked.



Member Name:

Member Address:



Meeting Name:

Meeting Date:



Name of Agent:

Proxy Limitations/Specifications:



Member Signature:

Date/Time Signed:

Submitted by Dave Burrell on May 11, 2006 - 7:02pm.