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Proxy Form

Regular members, if you cannot attend the monthly business meeting, you can send a proxy holder as your representative. This person can vote on your behalf at the meeting.  Both you and your proxy holder (if they are also a Regular LCRC member) will get credit for attending the meeting.

He/she must be a registered voter in Loudoun County.  He/she will only be able represent one person (you) at the meeting. If you cannot find someone to hold your proxy, you can submit this LCRC online form or the paper form with the proxy holder’s name left blank. You may also email your form to HelpDesk@LoudounGOP.com.  We will do our best to find a person to hold your proxy but we cannot guarantee we will find someone.

Read more on the proxy requirements in the Party Plan, Appendix A

 KNOW ALL MEN BY THESE PRESENTS, that I, LCRC FULL MEMBER of Loudoun County, do hereby constitute and appoint PROXY MEMBER my true and lawful attorney, to vote as my proxy (with full power of substitution)* at a meeting of the Loudoun County Republican Committee on DATE OF MEETING, or at 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, IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal, this TODAYS DATE.

 (Seal/Signature) (*) Inclusion of the power of substitution is discretionary with the member. Its omission shall preclude substitution. 

The individual identified on this form has agreed to serve as my proxy for this meeting.

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