Cowan Railroad Museum

I am a paid member* of the Cowan Railroad Museum, and will not be able to attend the Annual Business Meeting on January 27,2011.

I hereby assign my proxy to:

_____ the Cowan Railroad Museum Board of Directors

_____ Other Person; Specify ___________________________________

to be voted in the manner they best see fit.

Member Signature __________________________________________   

Print Name _______________________________________________

Date _________________

Note: if assigning proxy to the Board of Directors, please mail this form to:

Cowan RR Museum Proxy
PO Box 53
Cowan, TN 37318-0053


Proxy must be received no later than Wednesday, January 26

If assigning to an individual, be sure that individual plans to attend the meeting, and have them
bring this proxy with them.

*Annual membership dues are payable January 1, 2011. If you are
an annual member, please be sure to include dues payment of $10.