JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Proxy for the Canadian PBC Society Annual General Meeting of Members
To be Held April 27, 2018, 10:00 am to noon
595 Bay Street, Suite 401, Toronto, Ontario
* Indicates required question
Email
*
Your email
Email address
*
Your answer
The undersigned being a member of the Canadian PBC Society, hereby appoints Gail Wright, or failing her, Barbara Badstober, or failing her, Nancy Stewart
or instead of any of the above, I appoint:
Your answer
as proxy, with power of substitution, to attend and vote for the undersigned at the Annual General meeting of members to be held on Saturday, April 28, 2018.
Your Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
By clicking SUBMIT you agree to assign a proxy to cast your vote at the Canadian PBC Society Annual General Meeting of Members
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
