Edmonton Heritage Council
PROXY VOTE FORM
(for individual or organizational members who will not be present at the AGM)
*Check and complete only one of the following, as appropriate:
1. Individual member proxy
As a member in good standing of the Edmonton Heritage Council, I appoint:
Lan Chan-Marples, Treasurer, Edmonton Heritage Council; or,
___________________________________, an EHC Member in good standing,
to vote on my behalf at the Annual General Meeting of the Council, to be held on May 11th, 2016 and at any
adjournment of that meeting.
Name: _________________________________________________
Address: _________________________________________________________________________________________
Signature: ______________________________________________ Date: _____/_____/__________(mm/dd/yyyy)
2. Organizational member proxy
As an organizational member in good standing of the Edmonton Heritage Council, I appoint:
Lan Chan-Marples, Treasurer, Edmonton Heritage Council; or,
___________________________________, an EHC Member in good standing,
to vote on my Organization’s behalf at the Annual General Meeting of the Council, to be held on May 11th,
2016 and at any adjournment of that meeting.
Name of member organization: _________________________________________________
Name of authorized officer of member organization: _________________________________________________
Address: _________________________________________________________________________________________
Signature: ______________________________________________ Date: _____/_____/__________(mm/dd/yyyy)
Edmonton Heritage Council | 10440 108 Ave, Edmonton, AB T5H 3Z9 |