Form

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2023 Annual Meeting
Certificate of Response

Please complete all required fields in the electronic form and submit before Monday, October 2, 2023.
Should you have any questions or require assistance in filling out the Certificate, we would be happy to help. Please contact Catherine Carmignani, Assistant Executive Director, via email, ccarmignani@massgolf.org.

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In accordance with Sections 2.02 and 2.09 of the By-Laws of the Massachusetts Golf Association, Inc., the following Club/Course hereby appoints the Delegate or Proxy named below to represnt it or vote on its behalf at the Mass Golf Annual Meeting to be held on October 12, 2023 at Winchester Country Club.

Insert Name of Member Club/Course Below

Will your club have a delegate(s) attend the Mass Golf Annual Meeting?*

Yes

Acknowledgement and Certification of Response to Annual Meeting
I certify that all information provided in this form is accurate and representative of the aforementioned Member Club.

First name*

Last name*

Title/Position

Email*

2023 Annual MeetingCertificate of Response

2023 Annual Meeting
Certificate of Response