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2010 Alumni Council Meeting and Report Information


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    2011 Alumni Council Meeting- Proxy  

MAY 13 , 2011

Designation of Proxy  

If a delegate to the Alumni Council is unable to attend, this form must be returned with the name of the proxy and the signature of the delegate authorizing this action.

I __________________________ hereby authorize _____________________________
   Print Delegate Name                                  Print Proxy Name

to represent me at the May 13 , 2011 1 HUAA Alumni Council Meeting.  

Delegate Information  

Name __________________________________________________________________  

Position/Title _____________________________________________________________

Daytime Telephone____________________  Evening Telephone ___________________  

Proxy Information (Must be a HUAA member in good standing)

Name __________________________________________________________________

Address ________________________________________________________________

City ____________________   State __________________  Zip Code _______________

Daytime Telephone___________________  Evening Telephone ____________________

Email __________________________________________________________________

Signature of Delegate _____________________________________________________  

Date ___________________

Please submit this form by April 30, 2011 to Mr. El Hadji Dijibril Diagne at e_d_diagne@howard.edu

 

 
 
     

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