Know All Men by These Present

Official Proxy A member of the Committee may be represented in any meeting by a member carrying a duly executed and valid proxy. All proxies must be in writing and must be signed by the maker of the proxy.

KNOW ALL MEN BY THESE PRESENT, that I ______of the ______Precinct in City of Manassas do hereby constitute and appoint ______(name of proxy) of ______Precinct my true and lawful attorney, to vote as my proxy (with full power of substitution*) at a meeting of the City of Manassas Republican Committee on ______or at an adjourned meeting thereof and for me and in my name, place and stead to vote upon any question that properly may come before such meeting, with all the powers I should possess if personally present hereby revoking all previous proxies.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this ____day of ______, 2016.