Proxy Letter
(*)Indicates a required field
This Proxy Letter form is to be completed by the Library Board Chair or the Designated Library Voting Member.
Your electronic signature below constitutes that you verify the information submitted is true and correct.
Please answer all of the questions and submit this form by September 12, 2014.
Every question requires an answer.
The proxy holder may be:
•Anyone attending the System board meeting representing your library

For Eligibility:

•May be mailed back to CKLS in time for the meeting listed above (find a print-friendly version here)

•May be hand-delivered by the voting representative to the event

•Print version may/should be customized on your library letterhead

•May be filled out online; your electronic signature is valid for this event only

•The actual voting member does not need this proxy letter

•Proxy letter is for one-event use

•Please indicate on registration form if you are the voting member or proxy
1. Select your library: (*)
1. Please select your library from the dropdown menu.
2. Your name: (*)
2. Please enter your name.
3. Email address (a pdf receipt of the information you submit will be emailed to this address): (*)
3. Please enter an email address (a submission receipt will be emailed to this address)
I hereby authorize the individual named below as proxy holder for CKLS full System board meeting held during "Technology Day and Fall Assembly" Sept. 17, 2014 at CKLS Headquarters to vote our interest, or refrain from voting, on any matters brought before the Board as he/she deems appropriate.
4. Please enter the proxy holder's name here. (*)
4. Please enter the proxy holder's name.
5. Please enter your name. This constitutes your electronic signature verifying that the above is true and correct. (*)
5. Please enter your name. This constitutes your electronic signature verifying that the above is true and correct.
6. Enter the CAPTCHA text (*) 6. Enter the CAPTCHA text
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6. Please type the jumbled letters you see above the text box. (This is called the CAPTCHA code.)
 
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