2014 Master National Retriever Club Delegate/Proxy Form
Use this half of the form ONLY if your club wishes to CHANGE its Delegate for the Annual Meeting
Mail to: Elaine Goodner, 2817 Duell Ave., Medford, OR 97501
The ___________________________________________________________
Club Name
wishes to change its delegate. The following person is hereby appointed Delegate until further notice.
_______________________________________, 2014
(date)
Delegate Name:__________________________________________________________
Address:__________________________________________________________
__________________________________________________________
By:_______________________________________________________________
Club Title::_____________________________________________________________
Please do not cut this sheet
Use this half of the form ONLY if your club will be represented by a Proxy at the 2014 Annual Meeting
2014 Proxy Form
The undersigned Member Club does hereby constitute and appoint:
Name:_____________________________________________________________
Address:____________________________________________________________
____________________________________________________________
to be its lawful attorney and proxy for it, and in its name to vote at the MNRC Annual Meeting of Member Clubs to be held on Friday, October 10, 2014, upon amendments to the Constitution and By-Laws of said Club, and upon any and all other matters that may come before said meeting.
Dated:_____________________________________________________________
Member Club:_______________________________________________________
By:________________________________________________________________
Title:_______________________________________________________________
