Proxy designation Form

Proxy Designation Form
Unitarian Universalist Society: East
153 West Vernon Street
Manchester, CT 06042

I, ________________________, hereby designate  __________________________

                                                                                           (print name of proxy voter*)

to vote as my proxy at the UUS:E congregational meeting scheduled for 12 Noon on Sunday, May 15, 2022.

Signature: ___________________________     Date: ____________________________

                   (signature of voting member)

* Proxy voter must be a member of UUS:E