Proxy

INSTRUCTIONS: One (1) candidate will be elected for a 3-year term for each office. For each office, you may cast a total of two (2) votes for each interval you own, or one (1) vote for bi-annual. Cast them all for one candidate or divide them among as many as you wish. DO NOT CAST FRACTIONAL VOTES! Do not mark with an "x". If you do so, your mark will count as one vote only. Fill in the number of votes you want that candidate to receive. Remember, all unused votes will be cast by the Proxy holder on your behalf.

Member Name:

Street Address 1:

Street Address 2:

City:

State:

Zip Code:

Phone:

email:

Membership I.D. #:

Candidate for President:

Ralph Selway

Write In

Withhold

By selecting "Submit", I authorize Americas Travel and Vacation Club to cast my vote I provided here, for whom I have indicated here on this form.