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 May 8, 2015.
Every question requires an answer.
Each library board may and should authorize a designated proxy holder as their voting representative if the regular voting member cannot attend.
This voting is for the approval of the system plan and budget.

CKLS needs a quorum of library representatives or their proxies and governor's appointees for the vote to be legitimate.

The vote takes place at the business meeting after 1:30 on May 13, 2015.

Make sure the proxy is at the event on the second day to vote. A proxy who only attends the first day will not be able to vote.

For Eligibility:

Complete and mail this form to CKLS, Attention: Bev Cross in time for the meeting listed above.

Or, bring the completed form to the meeting.

Or, complete this form online. Your electronic signature is valid for this meeting only.
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 "Spring Forward" May 13, 2015 at Ringneck Ranch, Tipton KS 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.
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