Voting Proxy Authorization Form printable pdf download

Voting Proxy Authorization Form

2013 IRP Annual Meeting

June 3‐5, 2013

Indianapolis, IN

VOTING PROXY AUTHORIZATION FORM

If the IRP, Inc. Voting Member is unable to attend the 2013 IRP Annual Meeting, voting

authority should be given to a person who will be in attendance at the meeting and who will

represent the IRP, Inc. Voting Member. This person will vote on behalf of the jurisdiction on

all matters requiring the vote of jurisdiction members.

If you have any questions, please contact irpmail@irpinc.org or (703) 963‐2326.

Please return the signed Voting Proxy Authorization Form by May 22, 2013 by email or fax.

The completed form may also be turned in at the registration desk at the Annual Meeting prior

to June 4, 2013.

Email: irpmail@irpinc.org

Fax: (703) 831‐8757

2013 IRP ANNUAL MEETING

June 3 ‐ 5, 2013 Indianapolis, IN

I, _______________________, authorize ______________________to vote on behalf

of the jurisdiction of _______________________ at the 2013 IRP Annual Meeting in

Indianapolis, IN, on all matters relating to IRP, Inc.

_______________________

_____________

Signature

Title

Date

4301 Wilson Blvd, Suite 400 Arlington, VA 22203

Tel (703) 963-2326 Fax (703) 831-8757

Voting Proxy Authorization Form