BMHA Proxy Form (Brock Minor Hockey Association)

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Brock Minor Hockey Association official proxy form

I, the undersigned, hereby acknowledge that I am a member in good standing with Brock Minor Hockey Association and that the person designated below has the authority to vote for me at the Annual General Meeting.
This ballot must be submitted via this online form to the Brock Minor Hockey Association Secretary no later that seven (7) days in advance of the date of the Annual General Meeting.

I agree to the terms and conditions stated above^*

Date^*

Open the calendar popup.

Email Address^*

Example: [email protected]
Name of designated voter^*
Name of absentee voter^*

Human Validation

Check The Box ^*