Church Ballot Sheet Page 3

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[CHURCH NAME]
Sample Ballot Sheet
[Date]
Motion C – Re: Motion to Disaffiliate with the [Church Name]
 Yes
I vote for [Church Voting Name] to initiate the process of disaffiliation with the
[Church to Disaffiliate]
 No
I vote for [Church Voting Name] not to initiate the process of disaffiliation with the
[Church to Disaffiliate]
Note: This motion must be approved by a super-majority of the voting members present (67%+).
Important: Abstentions or unsubmitted ballots effectively count as a “No” vote.

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