K3 Logo Proxy Form

The undersigned owner of the below described Owners Association hereby appoints the below named homeowner as his/her proxy, and hereby authorizes him/her to represent and to vote for the undersigned at the Homeowners Meeting described below or any adjournment thereof of this Homeowners Meeting.

This proxy, when properly executed, will be voted by the designated proxy at his/her discretion below described Homeowners Meeting or any adjournment thereof. This proxy may be revoked by notice of revocation to the Association by the undersigned.

Today's Date

-- mm/dd/yy

Please provide the following contact information:

Your Name
Name of Homeowners Association
HOA Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
   
Work Phone
Home Phone
FAX
E-mail

Date of meeting this proxy will Apply to  
Name of Person You Are Assigning Your Proxy To

Comments

                                                           

Thank you for submitting your request.  Your request will be sent to K3 Management and you should receive a reply via e-mail within 1 business day.