Proxy Voting Form

Proxy Voting Form
Use this form to submit proxy voting details, meeting information, and voting instructions for the named meeting.
Voter Information
Full Name
First NameMiddle NameLast Name
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Principal Shareholder / Member Information
Principal Shareholder / Member Name
Account or Membership ID
Relationship to Voter / Proxy Authority Type
Voting Meeting Details
Meeting Name or Organization Name
Meeting Date and Time
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Meeting Location or Platform Details
Proxy Authorization and Instructions
Proxy Appointee Name
Voting Instructions / Ballot Choices
Should be Empty: