The Lakeshore Chapter of the
Project Management
Institute
Project Management Institute
Instrument Appointing Proxy
The undersigned member of the Lakeshore Chapter of the Project Management Institute hereby appoints ______________________ , _______________________ as the proxy of the undersigned to attend and act at the conclusion of the Dinner Meeting of the members of the said Corporation to be held on the 29th day of March, 2005, and at any adjournment or adjournments thereof in the same manner, to the 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 _________, 2005.
Membership Number: _____________
_______________________________
Please Print your Name
_______________________________
Signature of member
MUST BE SIGNED TO BE VALID