Please read carefully before assigning your proxy vote.

National VOAD Bylaws provide State/Territory VOADs in good standing the option to have their Chair/President cast his or her ballot at the annual State/Territory VOAD Membership Meeting either in person, by proxy or through the official delegate of his or her State/Territory VOAD.

Proxy voting must follow these rules:

1. If you wish to vote by proxy, you must use the official form below. 
2. The form must be completed by April 30th, 2021.
3. The proxy holder must verify that the proxy form is on record during check-in. The proxy may be exercised only by the person or persons named.

Remember: If you cannot attend the annual State/Territory Membership Meeting, it is your obligation and privilege to vote by proxy.

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* 1. I hereby appoint (ENTER NAME IN TEXTBOX BELOW), my proxy, to represent me at the 2021 annual State/Territory Membership Meeting, or at any adjourned meeting, and to act in my stead, authorizing this person fully to do all things that I could or might do if personally present. I also authorize this person to do every act whatsoever necessary or proper to be done in or upon all matters that may lawfully come before said annual meeting or any adjournment thereof. Further, I hereby revoke any proxy or proxies previously given by me to any person or persons.

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* 2. Proxy Representative Email

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* 3. State/Territory VOAD

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* 4. Your Name

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* 5. Your Email

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* 6. Date

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I verify that by adding my name below, I am providing authorization and proper representation of the aforementioned National VOAD Member.

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* 7. Signature (Re-enter Your Name)

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