Proxy Form

Proxy Form
The undersigned, an accredited member of the Court Interpreters’ Association of Ontario (CIAO),
hereby appoints__________________________ of ____________, or failing the person appointed
above, ____________________________ of ____________, as the proxy of the undersigned to attend
and act at the ________________ meeting of the members of the said Association to be held on the
day of __________________, and at any adjournments thereof in the same manner, to the same extent
and with the same power as if the undersigned were present at the said meeting or such adjournment or
adjournments thereof.
Dated the __________ day of _______________, _________.
Signature of the accredited member Print Name
Proxy Form
The undersigned, an accredited member of the Court Interpreters’ Association of Ontario (CIAO),
hereby appoints__________________________ of ____________, or failing the person appointed
above, ____________________________ of ____________, as the proxy of the undersigned to attend
and act at the ________________ meeting of the members of the said Association to be held on the
day of __________________, and at any adjournments thereof in the same manner, to the same extent
and with the same power as if the undersigned were present at the said meeting or such adjournment or
adjournments thereof.
Dated the __________ day of _______________, _________.
Signature of