Proxy Vote Authorization For Boulder City Horsemen's Association (BCHA)

I,________________a member of the BCHA in good standing do hereby assign my one vote to ______________who is a BCHA member in good standing.

This proxy is good only for the date of_________and will be considered invalid should I,_______________attend the meeting.

Signature ____________________________________

NOTE: only one proxy vote can be assigned to anyone BCHA member of good standing.

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