NALA Designation of Proxy Form
Instructions and General Information
1. If you cannot attend the NALA Annual Membership Meeting on July 27, 2012, you may designate two NALA active members to cast your proxy vote during the meeting. One NALA member will serve as your proxy holder and the second member will serve as your alternate proxy holder. The alternate is a back up to protect your vote in the event your primary proxy must cancel at the last minute or leave the meeting early. Any active member may hold your proxy with the exception of the NALA President.
2. Be sure your named proxy holder and alternate proxy holder plan to attend the annual meeting. If your proxy holder and/or alternate proxy holder have to leave the annual meeting before its conclusion, another member cannot hold your proxy. No proxy or alternate proxy holder may be designated after June 27, 2012.

3. Your Designation of Proxy and Alternate Proxy form must be sent to both the NALA Secretary and the NALA Credentials Chairman in order for your proxy to be recorded. The form must be received by these officers no later than June 27, 2012.
4. Remember to instruct your proxy holders how you wish your vote to be cast. Announcement of candidates and proposed Bylaw amendments will be published in the May/June issue of Facts & Findings and on the NALA Website.
NALA Headquarters
 1516 S. Boston, Suite 200
Tulsa, OK  74119
  Phone:  918-587-6828; Fax:  918-582-6772

CLICK to return to the NALA Website


This is:   
 New Form       Revised Form

Check if this is includes a new physical address, e-mail address, or name change.

Your
Name
 

And
 

Contact Information






 

 Name of voting member of NALA:

If this is a new name, indicate previous name

Address:

Address:

City State

Zip Code  

E-mail address:

Member Number
 

Control Number

Enter the number "873" in this box. This controls against forms that are completed automatically and are bogus.

Designation of Proxy Holder

 The proxy holder must be a NALA active member. The designation of proxy to vote on your behalf is valid only for the 2012 NALA Annual Meeting of Members to be held July 27, 2012.

Name of Your Designated Proxy Holder
 

Designation of Alternate
Proxy Holder

The alternate proxy holder must be a NALA active member. The alternate proxy holder will serve as a back up in the event your primary proxy holder cannot attend the annual meeting. The designation of proxy to vote on your behalf is valid only for the 2012 NALA Annual Meeting of Members to be held July 27, 2012.

Name of Your Designated Alternate Proxy Holder 

Deadline Date
 
 
 
 
 
Questions?
Contact
NALA Headquarters

918-587-6828

This form is due: JUNE 27, 2012.

This is the deadline date for RECEIPT of the form by the NALA Secretary.
The form may be filed by regular mail, fax or electronically.

By clicking "SUBMIT" below, this form will be sent to:

Cassandra Oliver, ACP, NALA Secretary

NALA Credentials Chair

NALA Headquarters
 

Designation of proxy forms will be acknowledged and verified with the NALA member to ensure accuracy and validity of the form.