Alberta Disability Workers Association

AGM 2013 - Proxy Voting Form

As ADWA members, you have the ability to designate a fellow member in good standing, whom you trust, to vote on your behalf at annual general meetings, or any general meeting of the association. To do so, please complete this form and scan or mail it to us by April 22nd at the address below.

I _________________________________________ being a member in good standing, Please print your name

hereby appoint _________________________________ a member in good standing, Please print their name to vote on my behalf at the 2013 Annual General Meeting of the Alberta Disability Workers Association.

Your Signature ___________________________________

Signature of your proxy ____________________________________

Date: ____________________________________