2013 District Delegate Ballot

COMPLETE SECTIONS 1, 2 & 3 Then SUBMIT THIS FORM By clicking "SUBMIT BALLOT".

PLEASE VOTE FOR THE DELEGATE IN THE DISTRICT THAT YOU OWN PROPERTY OR WRITE IN AN INDIVIDUAL TO SERVE AS YOUR DELEGATE.

1. PROXY PORTION

I am/we are unable to attend the Annual Members’ Meeting and Delegate Election of the Master Community Association, Inc. (“The Stapleton MCA”) to be held on Wednesday, November 7, 2012 at 6:30 p.m. in the Stapleton Community Room (2823 Roslyn St)  and hereby agree to submit my vote for district delegate through this electronic forum.

2. BALLOT  PORTION:

Please cast your vote by marking the approriate box below CHECK ONLY ONE BOX

* DENOTES CURRENT DELEGATE

Vote to Retain your Delegate

Vote to Challenge your Delegate             

Vote to Remove your Delegate

ALL WRITE IN CANDIDATES MUST OWN PROPERTY WITHIN THE DISTRICT THEY WISH TO REPRESENT. PLEASE INCLUDE PHYSICAL ADDRESS AND CONTACT INFORMATION OF ANY WRITE IN NOMINEE.

3. SIGNATURE AND ADDRESS PORTION

THIS BALLOT MUST BE RECEIVED BEFORE NOON WEDNESDAY, NOVEMBER 7, 2012