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Sample Ballot

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ELECTION BALLOT

Page 1 Form

1. Please provide your contact information.

First Name Required Question

Last Name

Unit Number(s) please list all to ensure voting accuracy. Required Question

Association Name

Street Address Required Question

Apt/Suite/Office

City

State

Postal Code Required Question

Country

Email Address Required Question

Phone Number (e.g. 123 456 7891) Required Question

Fax Number

Mobile Phone

URL

2. If you delegated a proxy or choose not to vote please let us know.

	I have delegated my vote to a proxy
	I choose not to vote in this election

3. If you have delegated your vote to a proxy please give us the name of the proxy to whom you delegated this authority.

4. Please select one candidate for each of the open Board Director Positions.

Board of Directors Position #1
Board of Directors Position #2
Board of Directors Position #3

5. If you choose to write your candidates in please do so here.

Board of Directors Position #1
Board of Directors Position #2
Board of Directors Position #3

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