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Proxy Form

 

Proxy Form for the York County Republican Committee

 

KNOW ALL MEN BY THESE PRESENTS,

That I ___________________________________________________________________
do hereby constitute and appoint _________________________________________________________
my true and lawful attorney, to vote as my proxy with full power of substitution*, at a meeting of the York County Republican Committee,
to be held on the _______ day of ________(month), 20____(year), or any adjourned meeting thereof, and for me and in my name, place, and stead to vote upon any question that properly may come before such meeting, with all the power I should possess if personally present, hereby revoking all previous proxies.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal,
this _______day of _________(month) , 20____ (year).
_____________________________________________________(seal)
Witness:_______________________________________________(seal)

(*) Inclusion of the power of substitution is discretionary with the member.  Its omission shall preclude substitution.  A proxy may not be given to another Committee Member.

Author: Carter Huff Filed Under:
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