2014 Delegate/Proxy Form

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:_______________________________________________________________

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