Authorized Proxy Vote Form - Bccpac

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Authorized Proxy Vote Form
1. Every Regular Member in good standing, which has paid their membership fees by December 15, 2015 is entitled to
vote at the 2016 Annual General Meeting. All Regular Members wishing to vote must designate an official delegate(s)
to vote on their behalf. Each Regular Member must complete their own authorized proxy vote form with the
appropriate council executive signatures.
2. A proxy may be transferred to another registered AGM delegate in the event a delegate cannot be present for the
entire Annual General Meeting.
If you do not wish to authorize a transfer check here
For Office Use:
In compliance with the Bylaws of the B.C. Confederation of Parent Advisory Councils,
Voting
Part 4.10:
Card #_________
We, ____________________________________________________________________________________
(Name of member school or district PAC)
(School District #)
hereby authorize __________________________________________________________________________
(Name of Delegate)
or ______________________________________________________________________________________
(Name of Alternate Delegate)
to vote on our behalf.
_____________________________
__________________________
Signature
Signature
_____________________________
__________________________
Member Council Executive Title
Member Council Executive Title
_____________________________
__________________________
Phone
Phone
For Office Use:
Name of Authorized Delegate/Alternate:
__________________________
___________________________
Print name
Signature
Transfer Authorization to:
__________________________
___________________________
Print name
School/District PAC

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