PROXY
KNOW ALL MEN BY THESE PRESENTS:
That I, ______________________________________________, the undersigned duly elected member of the Republican State Committee from Congressional District _________, *Legislative District __________, and __________________ County, State of Arizona, do hereby constitute and appoint
__________________________________________________
(Name)
who is a
registered Republican and qualified elector of Congressional District_______,*Legislative
District __________,and __________________ County, State of Arizona my attorney-in-fact and proxy to vote for me
in my name and stead, at the Statutory meeting of Republican
State Committeemen to be held at 9:00AM on January 27, 2007,
at Sunnyslope High School at 35 W Dunlap
Ave
Phoenix, AZ 85021 for the transaction of
any and all business that may properly
come before the meeting , I do
hereby approve, ratify and confirm all of the acts of my said proxy.
WITNESS my hand this _________day of __________. 2007
________________________________________________
Member of the Republican State Committee of Arizona
NOTE:
The signature of the state committeeman shall be witnessed by two individuals
other than the two principals OR attested to by a Notary Public.
x_______________________ x__________________________________
(Witness) (Witness)
STATE OF ARIZONA )
)
COUNTY OF _______________)
This
instrument was acknowledged before me this _____day of ____________________,
2005
_
__________________________________
Notary
Public
.
My Commission Expires:
_______________________________________
* Counties of at least 500,000 populations only.