SMFSC Proxy Voting Form
Category: Associate Member
Club No.: 10000469

The voting member, as addressed below, who is NOT attending the 2020-2021 Annual General Meeting may give this proxy to a delegate entitled to carry proxies (Associate Member, Board of Directors, Coaching Representative). [Skate Canada By-law 1306(2)].
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Streetsville Meadowvale Figure Skating Club (SMFSC)
Annual General Meeting 2020-2021
October 19, 2021 7:00 PM (via Zoom Meeting)
Voting Member Name: *
Skaters Name (one skater is sufficient): *
The above-named voting member of Streetsville Meadowvale Figure Skating Club hereby appoints
Name of Proxy (leave blank to assign SMFSC board of directors as your proxy)
Proxy's email address (leave blank for
as its proxy to attend, act and vote on behalf of this member at the 2020-2021 Annual General Meeting of the Streetsville Meadowvale Figure Skating Club, to be held October 19, 2021 and at any adjournment thereof unless, and until, this proxy shall be revoked by the undersigned.
Voting Member Signature (By typing my name, I am legally signing this proxy form): *
Date: *
Note: This proxy must be signed and dated by the voting member, as addressed above. The person holding the proxy must be an eligible person (with the exception of the Coaching Representative).
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