I am a member in good standing in this Association. I hereby revoke all previous proxies and appoint <name> or, if no one is named, all members of the Board of Directors who are members of the Association to act as my proxy and vote in my place at the meeting of the members to be held on <date> at <time> , at <address> , or at any adjournment of the meeting. My proxyholder shall vote as instructed on the attached "Voting Instructions."
Member's Name (PRINT): _____________________________________________
Member's Signature: _______________________________________
.............................. Separate Detachable Page ....................................
VOTING INSTRUCTIONS TO PROXYHOLDER
I AUTHORIZE my proxy to vote as follows:
1. ____ ABSTAIN from voting (use for quorum purposes only), or
2. ____ VOTE at proxyholder's discretion, or
3. ____ VOTE as follows:
Cumulative voting is authorized. You may cast three votes in any manner you choose. DO NOT cast more than three votes. If you make a mistake, cross out the error and initial the change.
- <candidate #1> # of votes
<candidate #2> # of votes
- <candidate #3> # of votes
<candidate #4> # of votes
<NOTE: The person designated as proxyholder must be a member of the association. In addition, proxies cannot be mailed to the association inside ballot envelopes. They must be delivered to the proxyholder, who must attend the meeting on the proxygiver's behalf.>
Noncumulative Voting. See proxy format for noncumulative voting.
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