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Proxy Voting Form
 
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  The administrator or governing body of each Regular Member shall specify in writing a Designated Representative affiliated with that Regular Member facility to sit as a member of the House of Delegates. The facility may change such representative at any time by written communication to the President at least forty-eight (48) hours prior to a convening of the House of Delegates.

Deadline to submit Proxy Form to GHCA Monday, June 12, 2017 at 8:30 a.m.

The undersigned, hereby represents that he/she is the designated representative of the regular member listed below, and that as such he/she is entitled to _______ votes (one vote for each member represented) at the House of Delegates meeting scheduled for the June 14, 2017 Georgia Health Care Association Convention, and the undersigned hereby exercises the proxy to cast all of the votes on changes to the GHCA Constitution & Bylaws.

 
 
 
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  The undersigned hereby represents that he/she is the designated representative of the regular member(s) listed above, and that as such he/she is entitled to one vote for each member represented at the House of Delegates meeting scheduled for the June 2016 Summer Georgia Health Care Association Convention, and the undersigned hereby exercises the proxy to cast all of the votes on the election process.
 
 
 
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