CBS Annual Meeting Proxy Form

Please insert your First Name

I, _____________________________

Partner or Spouse full name (first and last)

(and I, _____________________________) am/are a member(s) in good standing at Congregation Bonai Shalom ...

My designated proxy is

hereby grant my/our Proxy to _____________________________. (Please name an individual who will have the rights as proxy to vote at the meeting on your behalf. This person must be a member in good standing).

If a name is not designated, the Proxy shall be Michelle Goldman, President of Congregation Bonai Shalom.

This Proxy carries with it the full power of substitution and full right to the Proxy holder to cast his/her vote(s) as the Proxy holder sees fit and to represent me on any matter or resolution which may come before the meeting and take any other action which I could personally take if present at the meeting.

This Proxy is for the 2021 Annual Meeting of Congregation Bonai Shalom and for any extensions, adjournments, or continuations thereof.

Address

Date

Mon, July 7 2025 11 Tammuz 5785

If you'd like to support Bonai during this difficult time, please click here.

CBS Annual Meeting Proxy Form