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Springfield Hockey Association

 
 
 
 
 

PROXY FOR THE _______________ SEASON

 
 

I, _________________________________, am a fully paid member of the ___________________________________ club/team belonging to the Springfield Hockey Association and have voting rights at the Springfield Annual General Meeting, and I hereby designate ______________________________, who is a fully paid member of _________________________________________ club/team belonging to the Springfield Hockey Association and has voting rights at the _______________________Springfield Annual General Meeting, to be my proxy.

 
 
 
 

Signed: _______________________   Date: ________________