PROXY FOR ANNUAL MEETING OF THE DALLAS CHAPTER

OF THE ASSOCIATION OF CONFLICT RESOLUTION

 

I HEREBY CONSTITUTE AND APPOINT _____________________________________, A VOTING MEMBER OF ACR-DALLAS CHAPTER IN GOOD STANDING ON OCTOBER 22, 2007, TO BE MY PROXY, WITH FULL POWER OF SUBSTITUTION, AT THE ANNUAL MEETING OF ACR-DALLAS TO BE HELD ON OCTOBER 23, 2007, AND ALL ADJOURNMENTS THEREOF, TO VOTE ON MY BEHALF ON THE ELECTION OF OFFICERS AND DIRECTORS OF ACR-DALLAS.

 

_________________________________________________________________________

SIGNATURE OF MEMBER AND DATE

[ ] FOR PROPOSED SLATE OF OFFICERS/DIRECTORS

[ ] AGAINST PROPOSED SLATE OF OFFICERS/DIRECTORS

[ ] FOR PROPOSED SLATE OF OFFICERS/DIRECTORS WITH THE FOLLOWING SUBSTITUTIONS

 

________________________________ NAME AND OFFICE/DIRECTOR

________________________________ NAME AND OFFICE/DIRECTOR

________________________________ NAME AND OFFICE/DIRECTOR

________________________________ NAME AND OFFICE/DIRECTOR

PRINT OUT, COMPLETE AND MAIL TO DOUG SKIERSKI, SECRETARY OF ACR-DALLAS CHAPTER, 18484 PRESTON RD, STE. 102, DALLAS 75252