PROXY This is to certify that the undersigned, a voting member of [organization] , has designated [whomever designated] as his or her representative to cast all votes and express all approvals or disapprovals that said member may be entitled to cast or express at the annual meeting of [name of group], to be held on [date], and any lawfully adjourned meetings thereof, and for all purposes provided by the Articles of Incorporation, the By-Laws and the annual meeting call of [organization]. In no event shall this proxy be valid for a period longer than days after the first meeting for which it is given. This proxy shall be revocable, at any time, at the request of the undersigned voting member. ______________________ [Signature]
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