"Government must be a force for good in people's lives."
Proxy
Print this form, fill it out and mail the committee's mail box.
Essex County Democratic Committee, PO Box 737, Elizabethtown, New York 12932
or
Email the proxy to the secretary here
or
or give it to someone if you are unable to attend.

If you complete a proxy and you are able to attend, your proxy will be voided.
 
    I, _______________________________ (print name), am unable to attend the meeting of the Essex County Democratic Committee scheduled for ___/___/______ and hereby grant my proxy to _____________________________________ to vote on all matters that come before the Committee at that meeting.

__________________________________ (signature)
 
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