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Blank Proxy Form

"Proxy" must be a 2025 ASHBA Member attending the meeting.

Write their name on the PROXY line and complete the rest of the form with YOUR information.    

You must be a current member to vote.

Download Proxy Statement

Suggested Proxies to Vote YES!

Scott Hagan

Write In Member Attending in Person

Write In Member Attending in Person

Send form to: Scott@Hagan.com

Email Scott

Write In Member Attending in Person

Write In Member Attending in Person

Write In Member Attending in Person

Send form to: Info@ASBNewDirection.com and we will deliver the Statement to your designated Proxy.

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