Both the Club President and Vice President Education are voting members of the District Executive Council. In the absence of either Officer this proxy form may be carried by a member of the Club. The absent officer must sign this official proxy form and designate a Club member who is to carry the proxy and cast the votes of the absent officer. The Officer must sign this official proxy form and designate the Club member who is to carry the proxy by writing the name of the Toastmaster named the "Proxy carrier".

Club Number / Name_______________________________________

President's Signature________________________________________

Club member designated as Proxy Carrier________________________

Vice President of Education's Signature __________________________

Club member designated as Proxy Carrier________________________