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Sample Letter of Designation
[Entity Letterhead]
[Date]
Cloverland Electric Cooperative
725 E. Portage Avenue
Sault Ste. Marie, MI 49783
In accordance with the Bylaws of Cloverland Electric Cooperative, the following individual is hereby designated
as the authorized voting representative for this entity and shall continue to serve as its designated voting
representative until another person is so designated by written notice to the Cooperative:
Authorized Voting Representative (First and Name):_____________________________________
Title: ________________________________________________
Entity Name: _____________________________________________________________________
Account No: ______________________________________
Service Address: __________________________________________________________________
City: ___________________________________ State: MI Zip Code: ___________________
Phone: _________________________________________
Email: __________________________________________ (Optional)
Sincerely,
[Name]
[Title]
Return by March 27, 2015 to: Cloverland Electric Cooperative, 725 E. Portage Ave, Sault Ste. Marie, MI 49783
Fax: (906) 632-8444 or Email: wmalaska@cloverland.com