2017-2018 Election Proxy

General Elections for Club Officers class of 2017 - 2018  

This proxy will allow the person designated here to act as my agent for the purpose of voting in

the MCRC’s general elections at the General Membership meeting, to be held on October 13, 2017

I authorize my agent to receive and cast the ballots reserved for me.

The proxy vote cast by my agent will be counted as if I cast it myself.

Full Name of Voting Member: ___________________________

Voting Member Call: __________________________________

Full Name of designated agent: _________________________

Call Sign of designated agent: __________________________

I, ___________________, affirm that I authorize the above named as my official agent for the

purpose of voting in the Motor City Radio Club 2017-2018 General Election

Signed _____________________________________________ Date: ____________