This Proxy Statement is for ICG members who will not be attending the Annual Meeting at Costume-Con.
To vote, print and complete the form and give it to someone who will be attending. You must sign this
form for it to be valid. You can also submit your proxy online at https://forms.gle/e3EBj4HchvKFiwDE8.
On this _____________ day of __________________, 20______, I,_____________________________________,
assign my vote to and authorize the below named member of the International Costumers’ Guild,
belonging to _______________________________________________________ Chapter, to represent me in
all business coming before the 20______ Annual Meeting of the International Costumers’ Guild.
Assignee Name*: _____________________________________________________________________
Address: ______________________________________________________________________________
City: ___________________________________________________________________________________
State/Province: ZIP/Postal Code: ______________________________________________________
Assigner Name**: ____________________________________________________________________
Address: ______________________________________________________________________________
City: __________________________________________________________________________________
State/Province: ZIP/Postal Code: _____________________________________________________
Signature: ____________________________________________________________________________
*Who you are authorizing to vote on your behalf. **Your name.