2023 UHHOA ASSIGNMENT OF PROXY
I (We) hereby assign my (our) proxy to ______________________________ for issues that will be voted on at UHHOA membership meetings in fiscal 2023 (April 1, 2023 through March 31 2024).
________________________________ /______________________________________
Signature /Please print name
________________________________ /______________________________________
Signature / Please print name
Please give this form to whomever you assign your proxy. If you later decide to attend the meeting, this assignment of proxy will be revoked. If you wish to revoke this assignment and name another person, fill out a new form, give it to your new assignee, and notify a board member of your action.